FORM-LETTER STATEMENT OF LIABILITY

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
125062	FORM-LETTER STATEMENT OF LIABILITY Form	Migrated

ICR Details

OMB Control No: 1512-0041	ICR Reference No: 198111-1512-030
Status: Historical Active	Previous ICR Reference No: 198104-1512-041
Agency/Subagency: TREAS/BATF	Agency Tracking No:
Title: FORM-LETTER STATEMENT OF LIABILITY
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/23/1981
	Date Received in OIRA: 11/12/1981
Terms of Clearance: THis form is approved for use through March 31, 1982. Any Supporting Statement requesting extension of this approval must demonstrate the need for each item on this form in light of all other tax information collected by ATF and available to them to determine tax delinquincies.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1982	06/30/1982	12/31/1981
Responses	3,000	0	3,000
Time Burden (Hours)	1,500	0	1,500
Cost Burden (Dollars)	0	0	0

---

Abstract: FORM IS USED TO DETERMINE WHETHER A PERSON HAS BECOME LIABLE FOR SPECIAL OCCUPATIONAL TAXES INVOLVING ALCOHOLIC BEVERAGES. DESCRIBES THE PERSON WHO IS LIABLE OR REASON WHY PERSON IS NOT, DETAILS CONCERNING PAYMENT OF SPECIAL OCCUPATIONAL TAX, AND IF APPLICABLE, PERSON TO WHOM BUSINESS WAS SOLD. FORM IS USED TO ASSESS TAXES FOR THOSE PERSONS WHO ARE LIABLE FOR PAYMENT.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
FORM-LETTER STATEMENT OF LIABILITY	ATF F 5630.3

---

ICR Summary of Burden

	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	3,000	3,000	0	0	0	0
Annual Time Burden (Hours)	1,500	1,500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/12/1981

---