Report - Export Warehouse Proprietor.

Forms and Documents

Document Name	Status
Form TTB F 5220.4 Report - Export Warehouse Proprietor Form and Instruction	Modified
1513-0024 SS.doc Supporting Statement A	2009-05-26
CHIPRA Law.doc Supplementary Document	2009-05-22
1513-0024 Law and Regs.doc Supplementary Document	2008-12-08
1513-0024 FR Notice (09-04-08).pdf Supplementary Document	2008-12-08

IC Document Collections

IC ID	Document Title	Status
15982	Report - Export Warehouse Proprietor Form and Instruction	Modified

ICR Details

OMB Control No: 1513-0024	ICR Reference No: 200912-1513-005
Status: Historical Active	Previous ICR Reference No: 200812-1513-003
Agency/Subagency: TREAS/TTB	Agency Tracking No:
Title: Report - Export Warehouse Proprietor.
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/11/2009
	Date Received in OIRA: 12/11/2009
Terms of Clearance: Pre-approval contingent upon no substantive changes to this collection after adoption of the final rule. Otherwise this collection should be re-submitted to OMB for review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	6 Months From Approved	02/29/2012
Responses	960	0	996
Time Burden (Hours)	1,920	0	797
Cost Burden (Dollars)	12,998	0	0

---

Abstract: Proprietors account for taxable articles on this report. TTB uses this information to ensure that Federal laws and regulations have been complied with and to protect against diversion.

---

Authorizing Statute(s): PL: Pub.L. 111 - 3 702 Name of Law: Children’s Health Insurance Program Reauthorization Act of 2009
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 3 702 Name of Law: Children’s Health Insurance Program Reauthorization Act of 2009

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1513-AB72	Final or interim final rulemaking	74 FR 29401	06/22/2009

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Report - Export Warehouse Proprietor	TTB F 5220.4	Report - Proprietor of Export Warehouse

---

ICR Summary of Burden

	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	960	996	-36	0	0	0
Annual Time Burden (Hours)	1,920	797	1,123	0	0	0
Annual Cost Burden (Dollars)	12,998	0	12,998	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The program change reported in Item 13 of the OMB Form 83-I is made in the implementation of the Act. There is an increase of 1,123 hours associated with this collection due to a reevaluation of annual hours as a result of the increase in the time it takes to complete this form. The change in item 14 reflects the estimated costs associated with this collection.

---

Annual Cost to Federal Government: $81,190

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/03/2009

---