Information Collection

Application for an Industrial Alcohol User Permit (State & Local Government)

IC 212779 under ICR 202102-1513-009 · OMB 1513-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1513-0028 can be found here:

Documents and Forms

Document Name Document Type
Form TTB F 5150.22 Application for an Industrial Alcohol User Permit (State & Local Government) Form and Instruction
TTB F 5150.22 Application for an Industrial Alcohol User Permit TTB F 5150.22 (11-2017).pdf www.ttb.gov/forms/5000.shtml Form and Instruction
TTB F 5150.22 Application for an Industrial Alcohol User Permit TTB F 5150.22 (11-2017).pdf www.ttb.gov/forms/5000.shtml Form and Instruction
Permits Online: Application for New Specially Denatured PONL Application - Specially Denatured Spirits Dealer.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction
Permits Online: Application for New Specially Denatured PONL Application - Specially Denatured Spirits Dealer.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction
Permits Online: Application for New Specially Denatured PONL Application - Specially Denatured Spirits User.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction
Permits Online: Application for New Specially Denatured PONL Application - Specially Denatured Spirits User.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction
Permits Online: Application for New Tax Free Alcohol Use PONL Application - Tax Free Alcohol User.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction
Permits Online: Application for New Tax Free Alcohol Use PONL Application - Tax Free Alcohol User.docx www.ttb.gov/ponl/permits-online.shtml Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for an Industrial Alcohol User Permit (State & Local Government)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 27 CFR 20.41 - 20.45 27 CFR 20.56(b), 20.57, 20.59 27 CFR 22.41 - 22.45 27 CFR 22.57(b), 22.58, 22.60

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TTB F 5150.22	Application for an Industrial Alcohol User Permit	TTB F 5150.22 (11-2017).pdf	https://www.ttb.gov/forms/5000.shtml	Yes	No	Fillable Printable
Form and Instruction	n/a	Permits Online: Application for New Specially Denatured Alcohol Dealer	PONL Application - Specially Denatured Spirits Dealer.docx	https://www.ttb.gov/ponl/permits-online.shtml	Yes	Yes	Fillable Fileable Signable
Form and Instruction	n/a	Permits Online: Application for New Specially Denatured Alcohol User	PONL Application - Specially Denatured Spirits User.docx	https://www.ttb.gov/ponl/permits-online.shtml	Yes	Yes	Fillable Fileable Signable
Form and Instruction	n/a	Permits Online: Application for New Tax Free Alcohol User	PONL Application - Tax Free Alcohol User.docx	https://www.ttb.gov/ponl/permits-online.shtml	Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title: Treasury/TTB .001, Regulatory Enforcement Record System	FR Citation: 86 FR 8889

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	40	60
Annual IC Time Burden (Hours)	80	38	42
Annual IC Cost Burden (Dollars)	200	200	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.