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Federal forms, ICRs, and supporting documents

Information Collection Request

Authorization to Furnish Financial Information and Certificate of Compliance

ICR 200307-1513-008 · OMB 1513-0004 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
15943 Authorization to Furnish Financial Information and Certificate of Compliance Form Migrated
ICR Details
1513-0004 200307-1513-008
Historical Active 200301-1513-004
TREAS/TTB
Authorization to Furnish Financial Information and Certificate of Compliance
Extension without change of a currently approved collection   No
Regular
Approved without change 08/25/2003
Retrieve Notice of Action (NOA) 07/11/2003
  Inventory as of this Action Requested Previously Approved
08/31/2006 08/31/2006 08/31/2003
2,000 0 2,000
500 0 500
0 0 0
The Right to Financial Privacy Act of 1978 limits access to records held by financial institutions and provides for certain procedures to gain access to the information. TTB F 5030.6 serves as both a customer authorization for ATF to recieve information and as the required certification to the financial institution.
None
None
No
1
IC Title Form No. Form Name
Authorization to Furnish Financial Information and Certificate of Compliance 5030.6
  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) 500 500 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.
07/11/2003