You may omit
printing the expiration date on this form.
Inventory as of this Action
Requested
Previously Approved
02/28/1998
02/28/1998
02/28/1995
4,000
0
0
4,000
0
4,000
0
0
0
ATF FORM 1643 (5100.18) IS COMPLETED
BY PERSONS WHO HOLD A BASIC PERMIT TO OPERATE AS AN IMPORTER OR
WHOLESALER, PRODUCER, RECTIFIER, BOTTLER, OR WAREHOUSEMAN OF
DISTILLED SPIRITS, WINE, OR MALT BEVERAGE WITH ATF BUT WHO INTEND
TO CHANGE THEIR BASIC PERMIT DUE TO CHANGES IN NAME, TRADE NAME,
LOCATION, OR OPERATION OF THEIR BUSINESS.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.