Referral of Information

ICR 202309-1513-003

OMB: 1513-0003

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2023-09-12
IC Document Collections
IC ID
Document
Title
Status
182306 Modified
ICR Details
1513-0003 202309-1513-003
Received in OIRA 202008-1513-004
TREAS/TTB ICN 90 - 2/9
Referral of Information
Extension without change of a currently approved collection   No
Regular 09/29/2023
  Requested Previously Approved
36 Months From Approved 09/30/2023
100 125
100 125
200 250

Alcohol and Tobacco Tax and Trade Bureau (TTB), during the course of their duties, sometimes discover apparent violations of statutes and regulations under the jurisdiction of State and local government agencies. Using form TTB F 5000.21, Referral of Information, TTB personnel submit information regarding such violations to such external agencies, if disclosure is authorized under 26 U.S.C. 6103 or other Federal laws. The referral form includes a section for the external agency to respond to TTB regarding its action on the referral. This form provides TTB with a consistent means of conveying relevant information to external agencies, and it facilitates information-sharing between TTB and external agencies to support enforcement efforts. The response that TTB requests from these State and local government agencies also provides information as to the utility of the referrals and potential enforcement actions that these external agencies take against the same entities that TTB regulates.

US Code: 26 USC 6103 Name of Law: Internal Revenue Code
  
None

Not associated with rulemaking

  88 FR 47235 07/21/2023
88 FR 67451 09/29/2023
No

1
IC Title Form No. Form Name
Referral of Information TTB F 5000.21 Referral of Information

  Total Request 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 100 125 0 0 -25 0
Annual Time Burden (Hours) 100 125 0 0 -25 0
Annual Cost Burden (Dollars) 200 250 0 0 -50 0
No
No
There are no program changes associated with this information collection. As for adjustments, due to changes in agency estimates, TTB is decreasing this collection’s number of annual of State and local government respondents and responses from 125 to 100. In turn, that decrease in respondents and responses decreases this collection’s estimated annual burden hours from 125 to 100.

$8,559
No
    No
    No
No
No
No
No
Michael Hoover 202 453-2135 ext. 135 michael.hoover@ttb.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.
09/29/2023


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