OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Authorization to Furnish Financial Information and Certificate of Compliance

ICR 201903-1513-002 · OMB 1513-0004 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form TTB F 5030.6 Authorization to Furnish Financial Information and Certificate of Compliance Form and Instruction Modified Available
1513-0004 Supporting Statement (03-2019).docx Supporting Statement A Uploaded 2019-03-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
43832 Authorization to Furnish Financial Information and Certificate of Compliance Form and Instruction Modified
ICR Details
1513-0004 201903-1513-002
Active 201512-1513-001
TREAS/TTB IC 71- 4/7
Authorization to Furnish Financial Information and Certificate of Compliance
Extension without change of a currently approved collection   No
Regular
Approved without change 05/06/2019
Retrieve Notice of Action (NOA) 03/27/2019
  Inventory as of this Action Requested Previously Approved
05/31/2022 36 Months From Approved 05/31/2019
240 0 240
60 0 60
0 0 0
Under its statutory and regulatory authorities, during an alcohol or tobacco permit investigation, the Alcohol and Tobacco Tax and Trade Bureau (TTB) may require such applicants to show that they have the financial standing necessary to conduct their operations in compliance with Federal law. However, the Right to Financial Privacy Act of 1978 (the Act; 12 U.S.C. 3401 et seq.) limits the Federal Government’s access to the records of individuals held by financial institutions. The Act provides that a person may authorize a financial institution to disclose their individual records to a Federal agency, but it also requires the agency to certify to the institution that the agency has complied with the Act. To meet the Act’s requirements, a permit applicant uses TTB F 5030.6 to authorize a financial institution to disclose their individual records to TTB, and TTB uses the form to certify to the institution that the agency has complied with the Act.
US Code: 12 USC 3401-3422 Name of Law: Right to Financial Privacy Act of 1978
   US Code: 26 USC 5171 and 5271 Name of Law: Internal Revenue Code
   US Code: 26 USC 5712-5713 Name of Law: Internal Revenue Code
   US Code: 27 USC 203-204 Name of Law: Federal Alcohol Administration Act
  
None
Not associated with rulemaking
  83 FR 60963 11/27/2018
84 FR 11633 03/27/2019
No
  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 240 240 0 0 0 0
Annual Time Burden (Hours) 60 60 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,280
No
    No
    No
No
No
No
Uncollected
Jesse Longbrake 202 453-2265
  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.
03/27/2019