Drawback on Distilled Spirits Exported

ICR 200901-1513-004

OMB: 1513-0042

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
Modified
Supplementary Document
2009-01-14
Supplementary Document
2009-01-14
Supporting Statement A
2009-01-16
ICR Details
1513-0042 200901-1513-004
Historical Active 200511-1513-005
TREAS/TTB
Drawback on Distilled Spirits Exported
Revision of a currently approved collection   No
Regular
Approved without change 03/31/2009
Retrieve Notice of Action (NOA) 01/29/2009
  Inventory as of this Action Requested Previously Approved
03/31/2012 36 Months From Approved 03/31/2009
5,000 0 5,000
10,000 0 10,000
0 0 0

TTB F 5110.30 is used by persons who export distilled spirits and wish to claim a drawback of taxes already paid in the United States (U.S.). The form describes the claimant, spirits for tax purposes, amount of tax to be refunded, and a certification by the U.S. Government agent attesting to exportation.

None
None

Not associated with rulemaking

  73 FR 51699 09/04/2008
74 FR 4829 01/27/2009
No

2
IC Title Form No. Form Name
Drawback on Distilled Spirits Exported TTB F 5110.30 Drawback on Distilled Spirits Exported
Drawback on Distilled Spirits Exported TTB F 5110.30 Drawback on Distilled Spirits Exported

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 10,000 10,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
There isn't actually a change in the burden hours, responses, or respondents; we just created 2 ICs because this ICR is both mandatory and required to obtain or retain a benefit. When we separated them the 1st one showed a decrease and when we added the 2nd one it increased the number to the amount that was reported previously.

$1,873
No
No
Uncollected
Uncollected
No
Uncollected
Mary Wood 202 927-8185 mary.a.wood@ttb.treas.gov

  No

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.
01/29/2009


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