OMB control number
Referral of Information
OMB 1513-0003 · TREAS/TTB.
Alcohol and Tobacco Tax and Trade Bureau (TTB), during the course of their duties, sometimes discover apparent violations of statutes and regulations under the jurisdiction of State and local government agencies. Using form TTB F 5000.21, Referral of Information, TTB personnel submit information regarding such violations to such external agencies, if disclosure is authorized under 26 U.S.C. 6103 or other Federal laws. The referral form includes a section for the external agency to respond to TTB regarding its action on the referral. This form provides TTB with a consistent means of conveying relevant information to external agencies, and it facilitates information-sharing between TTB and external agencies to support enforcement efforts. The response that TTB requests from these State and local government agencies also provides information as to the utility of the referrals and potential enforcement actions that these external agencies take against the same entities that TTB regulates.
The latest form for Referral of Information expires 2026-12-31 and can be found here.
Document Name |
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Form and Instruction |
Supporting Statement A |
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Approved without change |
Extension without change of a currently approved collection | 2023-09-29 | |
|
Approved without change |
Extension without change of a currently approved collection | 2020-08-24 | |
|
Approved without change |
Revision of a currently approved collection | 2017-05-30 | |
|
Approved without change |
Extension without change of a currently approved collection | 2014-03-31 | |
|
Approved without change |
Reinstatement without change of a previously approved collection | 2011-02-02 | |
|
Approved without change |
Extension without change of a currently approved collection | 2007-10-18 | |
|
Approved without change |
Extension without change of a currently approved collection | 2004-09-08 | |
|
Approved without change |
Extension without change of a currently approved collection | 2003-01-24 |