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Federal forms, ICRs, and supporting documents

Information Collection Request

Authorization to Furnish Financial Information and Certificate of Compliance

ICR 202508-1513-009 · 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
Form TTB F 5030.6 Authorization to Furnish Financial Information and Certificate of Compliance Form and Instruction Modified Repair queued
1513-0004 Supporting Statement (08-2025).docx Supporting Statement A Uploaded 2025-08-12 Available
1513-0004 Supporting Statement (08-2025).docx Supporting Statement A Uploaded 2025-08-12 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
43832 Authorization to Furnish Financial Information and Certificate of Compliance Form and Instruction ModifiedAuthorization to Furnish Financial Information and Certificate of Compliance
43832 Authorization to Furnish Financial Information and Certificate of Compliance Form and Instruction Modified
ICR Details
1513-0004 202508-1513-009
Active 202205-1513-003
TREAS/TTB ICN 95 - 3/10
Authorization to Furnish Financial Information and Certificate of Compliance
Extension without change of a currently approved collection   No
Regular
Approved without change 01/16/2026
Retrieve Notice of Action (NOA) 08/29/2025
  Inventory as of this Action Requested Previously Approved
01/31/2029 36 Months From Approved 01/31/2026
10 0 10
3 0 3
20 0 20
The Alcohol and Tobacco Tax and Trade Bureau (TTB), under its statutory and regulatory authorities, may require such applicants to show they have the financial standing necessary to conduct their operations in compliance with Federal law during an alcohol or tobacco permit application investigation. 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 those requirements, a permit applicant uses TTB F 5030.6, Authorization to Furnish Financial Information and Certificate of Compliance, 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
  
None
Not associated with rulemaking
  90 FR 20342 05/13/2025
90 FR 42305 08/29/2025
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 10 10 0 0 0 0
Annual Time Burden (Hours) 3 3 0 0 0 0
Annual Cost Burden (Dollars) 20 20 0 0 0 0
No
No
$328
No
    No
    No
No
No
No
No
Kara Fontaine 202 453-2103 [email protected]
  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.
08/29/2025