Information Collection

Certificate of Taxpaid Alcohol

IC 187802 under ICR 201209-1513-001 · OMB 1513-0131.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0131 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5100.4 Certificate of Taxpaid Alcohol Form
TTB F 5100.4 Certificate of Taxpaid Alcohol TTB F 5100.4.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certificate of Taxpaid Alcohol	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 27 CFR 17.181

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	TTB F 5100.4	Certificate of Taxpaid Alcohol	TTB F 5100.4.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	500	-500	1,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.