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Federal forms, ICRs, and supporting documents

Information Collection Request

APPLICATION AND PERMIT TO PROCURE SAMPLE OF SPECIALLY DENATURED SPIRITS ATF F 1512 (5150.14) - SUPPLEMENTAL

ICR 198503-1512-010 · OMB 1512-0077 · Historical Active

Forms and Documents
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IC IDCollectionTypeStatusForm
125240 APPLICATION AND PERMIT TO PROCURE SAMPLE OF SPECIALLY DENATURED SPIRITS ATF F 1512 (5150.14) - SUPPLEMENTAL Form Migrated
ICR Details
1512-0077 198503-1512-010
Historical Active 198301-1512-006
TREAS/BATF
APPLICATION AND PERMIT TO PROCURE SAMPLE OF SPECIALLY DENATURED SPIRITS ATF F 1512 (5150.14) - SUPPLEMENTAL
Revision of a currently approved collection   No
Regular
Approved without change 04/25/1985
Retrieve Notice of Action (NOA) 03/01/1985
  Inventory as of this Action Requested Previously Approved
01/31/1986 01/31/1986 01/31/1986
2,000 0 2,000
2,000 0 2,000
0 0 0
ON CERTAIN OCCASIONS, A BUSINESS NOT HOLDING A PERMIT TO SECURE A TYPE OF SPECIALLY DENATURED SPIRITS MAY WISH TO OBTAIN A SAMPLE OF THE SPIRITS FROM A DEALER. IN SUCH CASES THEY PREPARE THIS FORM AND UPON ARRIVAL, THEY ARE ABLE TO OBTAIN THE SPIRITS. THIS FORM AND PROCEDURE CONTROLS ACCESS TO SAMPLES OF SPECIALLY DENATURED SPIRITS.
None
None
No
1
IC Title Form No. Form Name
APPLICATION AND PERMIT TO PROCURE SAMPLE OF SPECIALLY DENATURED SPIRITS ATF F 1512 (5150.14) - SUPPLEMENTAL ATF F 1512, (5150.14)
  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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 2,000 2,000 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.
03/01/1985