Information Collection

Referral of Information

IC 182306 under ICR 202309-1513-003 · OMB 1513-0003.

Documents and Forms

Document Name Document Type
Form TTB F 5000.21 Referral of Information Form and Instruction
TTB F 5000.21 Referral of Information TTB F 5000.21 (05-2017).pdf Form and Instruction
TTB F 5000.21 Referral of Information TTB F 5000.21 (05-2017).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Referral of Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 5000.21	Referral of Information	TTB F 5000.21 (05-2017).pdf		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Substance Control

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	-25	125
Annual IC Time Burden (Hours)	100	-25	125
Annual IC Cost Burden (Dollars)	200	-50	250

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.