Information Collection

Report of Wine Premises Operations

IC 39127 under ICR 201412-1513-004 · OMB 1513-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0053 can be found here:

Documents and Forms

Document Name Document Type
Form TTB 5120.17 Report of Wine Premises Operations Form and Instruction
TTB 5120.17 Report of Wine Premises Operations TTB F 5120.17 (0053).pdf www.pay.gov/public/home Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Report of Wine Premises Operations	Agency IC Tracking Number:	PRA-49-0053

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 27 CFR 24.294 27 CFR 24.295 27 CFR 24.300 27 CFR 24.65 27 CFR 24.75 27 CFR 24.126 27 CFR 24.136 27 CFR 24.140 27 CFR 24.176 27 CFR 24.197 27 CFR 24.237 27 CFR 24.292 27 CFR 24.293 27 CFR 24.303 27 CFR 24.313 27 CFR 24.316 27 CFR 28.126

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TTB 5120.17	Report of Wine Premises Operations	TTB F 5120.17 (0053).pdf	https://www.pay.gov/public/home	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: Regulatory Enforcement Record System (Treasur/TTB .001)	FR Citation: 76 FR 74847

Number of Respondents: 6,043	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 28 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31,555	-874	32,429
Annual IC Time Burden (Hours)	34,711	-961	35,672
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.