View Information Collection (IC)

View Information Collection (IC)

IC Title:	Report of Wine Premises Operations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 27 CFR 24.65, 24.75, 24.136 27 CFR 24.140, 24.176, 24.197 27 CFR 24.237, 24.268 27 CFR 24.292 - 24.295 27 CFR 24.300, 24.303 27 CFR 24.313, 24.316 27 CFR 28.126

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 5120.17sm	Report of Wine Premises Operations	TTB F 5120.17sm.pdf	https://www.ttb.gov/forms & https://www.pay.gov/public/login	Yes	Yes	Fillable Fileable
Form and Instruction	TTB F 5120.17sm Temp	Report of Wine Premises Operations	TTB F 5120.17sm-temp.pdf	https://www.ttb.gov/forms & https://www.pay.gov/public/login	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 35 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	52,870	0	0	21,315	0	31,555
Annual IC Time Burden (Hours)	58,157	0	0	23,446	0	34,711
Annual IC Cost Burden (Dollars)	34,365	0	0	34,365	0	0

Documents for IC

Title	Document	Date Uploaded
TTB Smart Form User Guide	TTB Smart Form User Guide (TTB P 5000.15 (04-2015)).pdf	11/18/2020
Tutorial for TTB F 5120.17	Tutorial for TTB F 5120.17.docx	11/18/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.