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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION FOR LIMITED INDUSTRIAL USE AND WITHDRAWAL PERMIT

ICR 198212-1512-012 · OMB 1512-0174 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
125670 APPLICATION FOR LIMITED INDUSTRIAL USE AND WITHDRAWAL PERMIT Form Migrated
ICR Details
1512-0174 198212-1512-012
Historical Active 198111-1512-073
TREAS/BATF
APPLICATION FOR LIMITED INDUSTRIAL USE AND WITHDRAWAL PERMIT
Revision of a currently approved collection   No
Regular
Approved without change 01/17/1983
Retrieve Notice of Action (NOA) 12/20/1982
  Inventory as of this Action Requested Previously Approved
03/31/1985 03/31/1985 03/31/1983
3,000 0 3,000
14,010 0 14,010
0 0 0
FORM IS USED TO DETERMINE WHETHER A PERSON IS ELIGIBLE TO RECEIVE DENATURED SPIRITS OR ALCOHOL FREE OF TAX FOR CERTAIN OPERATIONS AND LIMITED AMOUNTS. DESCRIBES THE PERSON, BUSINESS, INTENDED USE OF DENATURED SPIRITS OR ALCOHOL AND AMOUNT THEREOF NEEDED AND INTENDED SUPPLIER. FORM, WHEN APPROVED, SERVES AS AN AUTHORITY FOR THE SHIPPER TO SEND THE PERSON DENATURED SPIRITS OR ALCOHOL FREE OF TAX.
None
None
No
1
IC Title Form No. Form Name
APPLICATION FOR LIMITED INDUSTRIAL USE AND WITHDRAWAL PERMIT ATF F 4326, (5150.21)
  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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 14,010 14,010 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
12/20/1982