Department of the Treasury
Departmental Offices
OMB NO: 1505-0001 EXPIRATION DATE: 11/30/2003
RESPS:2,880 HOURS:16,200 COSTS(000):$0
Treasury International Capital Form S, "Purchases and Sales of
Long-Term Securities by Foreigners
FORMS: FORM-S
OMB NO: 1505-0010 EXPIRATION DATE: 12/31/2003
RESPS:1,056 HOURS:1,056 COSTS(000):$0
Monthly Consolidated Foreign Currency Report of Major Market
Participants
FORMS: FC-2
OMB NO: 1505-0012 EXPIRATION DATE: 12/31/2003
RESPS:1,144 HOURS:1,144 COSTS(000):$0
Weekly Consolidated Foreign Currency Report of Major Market
Participantsa
FORMS: FC-1
OMB NO: 1505-0014 EXPIRATION DATE: 12/31/2003
RESPS:1,920 HOURS:1,920 COSTS(000):$0
Quarterly Consolidated Foreign Currency Report of Major Market
Participants
FORMS: FC-3
OMB NO: 1505-0016 EXPIRATION DATE: 11/30/2003
RESPS:1,280 HOURS:5,600 COSTS(000):$0
Treasury International Capital Form BQ-1, Part 1: Reporting
Bank's Own Claims, & Selected Claims of Broker or Dealer, on
Foreigners; Part 2: Domestic Customers' Claims on Foreigners
FORMS: BQ-1
OMB NO: 1505-0017 EXPIRATION DATE: 11/30/2003
RESPS:4,480 HOURS:39,200 COSTS(000):$0
Treasury International Capital Form BC/BC(SA), Reporting Bank's
Own Claims, and Selected Claims of Broker or Dealer, on
Foreigners, Denominated in Dollars
FORMS: BC/BC(SA)
OMB NO: 1505-0018 EXPIRATION DATE: 11/30/2003
RESPS:1,380 HOURS:9,900 COSTS(000):$0
Treasury International Capital Form BL-2/BL-2(SA), Custody
Liabilities of Reporting Banks, Brokers and Dealers to
Foreigners Denominated in Dollars
FORMS: BL-2/BL-2(SA)
OMB NO: 1505-0019 EXPIRATION DATE: 11/30/2003
RESPS:5,330 HOURS:46,000 COSTS(000):$0
Treasury International Capital Form BL-1/BL-1(SA), Reporting
Bank's Own Liabilities, and Selected Liabilities of Broker or
Dealer, to Foreigners, Denominated in Dollars
FORMS: FORM-BL-1 BL-1(SA)
OMB NO: 1505-0020 EXPIRATION DATE: 11/30/2003
RESPS:440 HOURS:2,520 COSTS(000):$0
Treasury International Capital form BQ-2, Part 1: Liabilities
to, and Claims on, Foreigners of Reporting Bank, Broker or
Dealer, and Part 2: Domestic Customers' Claims on Foreigners
Held by
FORMS: BQ-2
OMB NO: 1505-0023 EXPIRATION DATE: 04/30/2004
RESPS:660 HOURS:330 COSTS(000):$0
Treasury International Capital Form CM, "Dollar Deposit and
Certificate of Deposit Claims on Banks Abroad"
FORMS: NONE
OMB NO: 1505-0024 EXPIRATION DATE: 06/30/2002
RESPS:2,000 HOURS:8,000 COSTS(000):$0
"Financial and Commercial Liabilities to, and Claims on,
Unaffiliated Foreigners" -- Treasury International Capital Forms
CQ-1 and CQ-2
FORMS: FORM-CQ-1 FORM-CQ-2
OMB NO: 1505-0080 EXPIRATION DATE: 03/31/2005
RESPS:5,023 HOURS:70,493 COSTS(000):$0
post-Contract Award Information
FORMS: NONE
OMB NO: 1505-0081 EXPIRATION DATE: 03/31/2005
RESPS:26,338 HOURS:776,561 COSTS(000):$0
Solicitation of Proposal Information for Award of Public
contracts
FORMS: NONE
OMB NO: 1505-0088 EXPIRATION DATE: 04/30/2004
RESPS:300 HOURS:150 COSTS(000):$0
Treasury International Capital Form BL-3, "Intermediary's
Notification of Foreign Borrowing Denominated in Dollars"
FORMS: NONE
OMB NO: 1505-0092 EXPIRATION DATE: 05/31/2005
RESPS:1 HOURS:5 COSTS(000):$0
Libyan Sanctions Regulations
FORMS: NONE
OMB NO: 1505-0107 EXPIRATION DATE: 03/31/2005
RESPS:17 HOURS:34 COSTS(000):$0
Regulation on Agency Protests
FORMS: NONE
OMB NO: 1505-0118 EXPIRATION DATE: 11/30/2002
RESPS:26,000 HOURS:2,166 COSTS(000):$0
Travel to Cuba
FORMS: 90-22.39
OMB NO: 1505-0121 EXPIRATION DATE: 07/31/2003
RESPS:100 HOURS:6,000 COSTS(000):$0
Regulations Pertaining to Mergers, Acquisitions and Takeovers by
Foreign Persons
FORMS: NONE
OMB NO: 1505-0123 EXPIRATION DATE: 03/31/2005
RESPS:435 HOURS:30,000 COSTS(000):$0
Survey of Foreign Portfolio Investment in the United States
FORMS: TDF-SHL-1 SHL-2 SHLA-1 SHLA-2
OMB NO: 1505-0130 EXPIRATION DATE: 12/31/2003
RESPS:150 HOURS:150 COSTS(000):$0
Iraqi Sanctions Regulations
FORMS: NONE
OMB NO: 1505-0146 EXPIRATION DATE: 08/31/2004
RESPS:2,210 HOURS:100,230 COSTS(000):$0
Survey of U.S. Ownership of Foreign Securities
FORMS: TDF-SHC-1/-2/-3
OMB NO: 1505-0149 EXPIRATION DATE: 09/30/2002
RESPS:2,000 HOURS:6,000 COSTS(000):$0
Reporting of International Capital and Foreign Currency
Transactions and Positions -- 31 CFR Part 128
FORMS: NONE
OMB NO: 1505-0152 EXPIRATION DATE: 11/30/2004
RESPS:5,000 HOURS:2,500 COSTS(000):$0
Request for Transfer of Property Seized/Forfeited by a Treasury
Agency
FORMS: TD-F-92.22.46
OMB NO: 1505-0164 EXPIRATION DATE: 11/30/2004
RESPS:21,000 HOURS:26,250 COSTS(000):$0
Reporting and Procedures Regulations 31 CFR Part 501
FORMS: TD-F-90-22.50
OMB NO: 1505-0167 EXPIRATION DATE: 05/31/2005
RESPS:4,000,000 HOURS:66,667 COSTS(000):$0
Cuban Remittance Affidavit
FORMS: TD-F-90-22.52
OMB NO: 1505-0168 EXPIRATION DATE: 05/31/2005
RESPS:228,000 HOURS:19,000 COSTS(000):$0
Travel Service Provider and Carrier Service Provider Submission
FORMS: NONE
OMB NO: 1505-0170 EXPIRATION DATE: 11/30/2002
RESPS:2,714 HOURS:1,357 COSTS(000):$0
Form for OFAC Funds Transfer License Applications
FORMS: TDF90-22.54
OMB NO: 1505-0174 EXPIRATION DATE: 06/30/2004
RESPS:20 HOURS:400 COSTS(000):$0
Financial Subsidiaries (Interim Final Rule)
FORMS: NONE
OMB NO: 1505-0177 EXPIRATION DATE: 11/30/2004
RESPS:20 HOURS:240 COSTS(000):$0
Procedures for Payments to Persons Who Hold Certain Categories
of Judgments Against Cuba or Iran
FORMS: NONE
OMB NO: 1505-0178 EXPIRATION DATE: 06/30/2004
RESPS:126 HOURS:414 COSTS(000):$0
Community Adjustment and Investment Program Grant Agreement
FORMS: NONE
OMB NO: 1505-0179 EXPIRATION DATE: 08/31/2004
RESPS:5 HOURS:100 COSTS(000):$0
Financial Subsidiaries (Interim Final Rule)
FORMS: NONE
OMB NO: 1505-0181 EXPIRATION DATE: 12/31/2004
RESPS:150 HOURS:3,000 COSTS(000):$0
Community Adjustment and Investment Program Grant Program
Application
FORMS: NONE
OMB NO: 1505-0182 EXPIRATION DATE: 08/31/2004
RESPS:450 HOURS:22,500 COSTS(000):$0
Merchant Banking Investments
FORMS: NONE
OMB NO: 1505-0184 EXPIRATION DATE: 03/31/2005
RESPS:5,500 HOURS:243,000 COSTS(000):$0
NPRM -- Counter Money Laundering Requirements-Correspondent
Accounts for Foreign Shell Banks; Recordkeeping and Termination
of Correspondent Accounts
FORMS: NONE
OMB NO: 1505-0185 EXPIRATION DATE: 06/30/2002
RESPS:50 HOURS:1,000 COSTS(000):$0
First Accounts Application
FORMS: NONE
OMB NO: 1505-0186 EXPIRATION DATE: 05/31/2005
RESPS:300,000 HOURS:10,000 COSTS(000):$0
Customer Satisfaction Measure of Government Web Sites
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
36 4,648,179 1,520,087 $0
Financial Crimes Enforcement Network
OMB NO: 1506-0001 EXPIRATION DATE: 12/31/2002
RESPS:57,500 HOURS:28,750 COSTS(000):$0
Suspicious Activity Report
FORMS: TDF90-22.47
OMB NO: 1506-0003 EXPIRATION DATE: 11/30/2003
RESPS:128,000 HOURS:51,200 COSTS(000):$0
Currency Transaction Report by Casinos-Nevada
FORMS: IRS-FORM-8852
OMB NO: 1506-0004 EXPIRATION DATE: 08/31/2003
RESPS:10,000,000 HOURS:4,000,000 COSTS(000):$0
Currency Transaction Report
FORMS: FORM-4789
OMB NO: 1506-0005 EXPIRATION DATE: 12/31/2002
RESPS:140,000 HOURS:56,000 COSTS(000):$0
Currency Transaction Report by Casinos
FORMS: IRS-FORM-8362
OMB NO: 1506-0006 EXPIRATION DATE: 10/31/2004
RESPS:107 HOURS:64 COSTS(000):$0
Suspicious Activity Report by Casinos
FORMS: 90-22.49
OMB NO: 1506-0008 EXPIRATION DATE: 03/31/2005
RESPS:10,000 HOURS:1,500 COSTS(000):$0
Conditional Exception to the Application of 31 CFR 103.33(g)
FORMS: NONE
OMB NO: 1506-0009 EXPIRATION DATE: 03/31/2005
RESPS:13,000,000 HOURS:10,942,392 COSTS(000):$0
Financial Recordkeeping and Reporting of Currency and Foreign
Financial Accounts
FORMS: TD-F-90-22.1
OMB NO: 1506-0010 EXPIRATION DATE: 06/30/2004
RESPS:1 HOURS:1 COSTS(000):$0
Telephonic Notification to Law Enforcement of Suspicious
Activity that Requires Immediate Attetion; Notice to FinCEN of
Request for Suspicious Activity Report
FORMS: NONE
OMB NO: 1506-0011 EXPIRATION DATE: 06/30/2004
RESPS:13,000,000 HOURS:1 COSTS(000):$0
Suspicious Transaction Compliance Testing and Monitoring
FORMS: NONE
OMB NO: 1506-0012 EXPIRATION DATE: 06/30/2002
RESPS:250,000 HOURS:291,667 COSTS(000):$0
Designation of Exempt Person
FORMS: TD-F-90-22.53
OMB NO: 1506-0013 EXPIRATION DATE: 12/31/2004
RESPS:8,500 HOURS:1,106,375 COSTS(000):$0
Registration of Money Services Businesses
FORMS: TD-F-90.22-55
OMB NO: 1506-0014 EXPIRATION DATE: 03/31/2003
RESPS:180,000 HOURS:33,000 COSTS(000):$0
Report of International Transportation of Currency or Monetary
Instruments (CMIR)
FORMS: 4790
OMB NO: 1506-0015 EXPIRATION DATE: 03/31/2003
RESPS:10,000 HOURS:1 COSTS(000):$0
Reports by money services businesses of suspicious transactions
31 CFR 103.20
FORMS: NONE
OMB NO: 1506-0016 EXPIRATION DATE: 06/30/2003
RESPS:7,000 HOURS:3,500 COSTS(000):$0
Request for Research
FORMS: TD-F-90-22.44
OMB NO: 1506-0018 EXPIRATION DATE: 06/30/2002
RESPS:140,400 HOURS:1 COSTS(000):$0
Report of Cash Payments over $10,000 Received in a Trade or
Business
FORMS: 8300
OMB NO: 1506-0019 EXPIRATION DATE: 03/31/2005
RESPS:2,000 HOURS:1 COSTS(000):$0
Suspicious Activity Report by Broker-Dealers
FORMS: NONE
OMB NO: 1506-0020 EXPIRATION DATE: 10/31/2002
RESPS:203,004 HOURS:203,004 COSTS(000):$0
Anti-money laundering programs for money services businesses,
mutual funds, and operators of credit card systems
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
17 37,136,512 16,717,457 $0
Financial Management Service
OMB NO: 1510-0004 EXPIRATION DATE: 03/31/2005
RESPS:266 HOURS:5,920 COSTS(000):$0
Schedule of Excess Risks
FORMS: FMS-285-A
OMB NO: 1510-0007 EXPIRATION DATE: 02/29/2004
RESPS:604,000 HOURS:102,680 COSTS(000):$0
Direct Deposit Sign-Up Form
FORMS: 1199-A
OMB NO: 1510-0008 EXPIRATION DATE: 05/31/2003
RESPS:100 HOURS:150 COSTS(000):$0
Pools and Associations - Annual Letter
FORMS: NONE
OMB NO: 1510-0012 EXPIRATION DATE: 05/31/2004
RESPS:368 HOURS:15,635 COSTS(000):$0
Annual Financial Statements of Surety Companies - Schedule F
FORMS: FMS-FORM-6314
OMB NO: 1510-0013 EXPIRATION DATE: 05/31/2003
RESPS:318 HOURS:318 COSTS(000):$0
States Where Licensed for Surety
FORMS: FORM-2208
OMB NO: 1510-0019 EXPIRATION DATE: 02/29/2004
RESPS:53,895 HOURS:10,229 COSTS(000):$0
FMS-1133, Claim Against the United States for the Proceeds of a
Government Check
FORMS: FMS-1133
OMB NO: 1510-0027 EXPIRATION DATE: 03/31/2005
RESPS:100 HOURS:25 COSTS(000):$0
Application for Payment of a Deceased Depositor's Postal Savings
Certificate
FORMS: POD-1681
OMB NO: 1510-0029 EXPIRATION DATE: 10/31/2004
RESPS:200 HOURS:50 COSTS(000):$0
Depositor's application for payment of postal savings certificate
FORMS: TSF-5118
OMB NO: 1510-0033 EXPIRATION DATE: 07/31/2003
RESPS:15 HOURS:8 COSTS(000):$0
Application of Undertaker for Payment of Funeral Expenses from
Funds to the Credit of a Deceased Depositor.
FORMS: POD-FORM-1672
OMB NO: 1510-0034 EXPIRATION DATE: 12/31/2004
RESPS:700 HOURS:350 COSTS(000):$0
Depositor's application to withdraw postal savings
FORMS: POD-315
OMB NO: 1510-0035 EXPIRATION DATE: 10/31/2003
RESPS:150 HOURS:75 COSTS(000):$0
Assignment Form
FORMS: NONE
OMB NO: 1510-0037 EXPIRATION DATE: 04/30/2003
RESPS:1,400 HOURS:700 COSTS(000):$0
Voucher For Payment of Awards
FORMS: TFS-5135
OMB NO: 1510-0042 EXPIRATION DATE: 12/31/2002
RESPS:400 HOURS:400 COSTS(000):$0
Claims Against the U.S. for Amounts Due in Case of a Deceased
Creditor
FORMS: SF-1055
OMB NO: 1510-0043 EXPIRATION DATE: 04/30/2003
RESPS:385,877 HOURS:77,175 COSTS(000):$0
Notice of Reclamation Electronic Funds Transfer, Federal
Recurring Payments Request for Debit, Electronic Funds Transfer,
Federal Recurring Payments
FORMS: FMS-133 FMS-135
OMB NO: 1510-0045 EXPIRATION DATE: 04/30/2003
RESPS:138,427 HOURS:18,457 COSTS(000):$0
Trace Request for EFT Payment
FORMS: FMS-150.1 FMS-150.2
OMB NO: 1510-0047 EXPIRATION DATE: 03/31/2005
RESPS:30 HOURS:540 COSTS(000):$0
List of Data (A) and List of Data (B)
FORMS: TFS-2211
OMB NO: 1510-0048 EXPIRATION DATE: 01/31/2003
RESPS:150 HOURS:75 COSTS(000):$0
Minority Bank Deposit Program Certification Form for Admission
FORMS: FMS-FORM-3144
OMB NO: 1510-0052 EXPIRATION DATE: 03/31/2005
RESPS:900 HOURS:225 COSTS(000):$0
Financial Institution Agreement and Application Forms for
Designation as a Treasury Tax and Loan Depositary and Resolution
FORMS: FMS-458 FMS-459
OMB NO: 1510-0056 EXPIRATION DATE: 06/30/2003
RESPS:80,000 HOURS:20,000 COSTS(000):$0
ACH Vendor/Miscellaneous Payment Enrollment Form
FORMS: SF-3881
OMB NO: 1510-0057 EXPIRATION DATE: 08/31/2002
RESPS:417 HOURS:26,063 COSTS(000):$0
Annual Letter (A) & Annual Letter (B), Certification of Authority
FORMS: NONE
OMB NO: 1510-0059 EXPIRATION DATE: 07/31/2004
RESPS:100,000 HOURS:25,000 COSTS(000):$0
Authorization Agreement for Preauthorized Payment
FORMS: SF-5510
OMB NO: 1510-0061 EXPIRATION DATE: 03/31/2005
RESPS:56 HOURS:19,600 COSTS(000):$0
CMIA Annual Report and Direct Cost Claims
FORMS: NONE
OMB NO: 1510-0066 EXPIRATION DATE: 02/29/2004
RESPS:1,300 HOURS:325 COSTS(000):$0
31 CFR Part 208 - Management of Federal Agency Disbursements;
Final Rule
FORMS: NONE
OMB NO: 1510-0067 EXPIRATION DATE: 02/28/2003
RESPS:30 HOURS:7 COSTS(000):$0
Resolution Authorizing Execution of Depositary, Financial
Agency, and Collateral Agreement, and "Depositary, Financial
Agency, and Collateral Agreement"
FORMS: FMS-5902 5903
OMB NO: 1510-0069 EXPIRATION DATE: 10/31/2003
RESPS:13 HOURS:5,562 COSTS(000):$0
Final Rule - Administrative Offset, Collection of Past-Due Child
Support
FORMS: NONE
OMB NO: 1510-0073 EXPIRATION DATE: 02/28/2003
RESPS:18,000 HOURS:36,000 COSTS(000):$0
ETA Financial Agency Agreement
FORMS: FMS-111
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
26 1,387,112 365,569 $0
Bureau of Alcohol, Tobacco and Firearms
OMB NO: 1512-0001 EXPIRATION DATE: 09/30/2002
RESPS:30,000 HOURS:1,725 COSTS(000):$10,000
Requisition for Forms or Publications -- ATF F 1370.3
Requisition for Firearms Explosives Forms -- ATF F 1370.2
FORMS: ATF-F-1370.3 ATF-F-1370.2
OMB NO: 1512-0002 EXPIRATION DATE: 04/30/2003
RESPS:21,000 HOURS:168 COSTS(000):$0
ATF Distribution Center Contractor Survey
FORMS: ATF-F-1600.7
OMB NO: 1512-0005 EXPIRATION DATE: 01/31/2005
RESPS:5,000 HOURS:2,500 COSTS(000):$0
Application for Restoration of Firearms and/or Explosives
FORMS: ATF-F-3210.1
OMB NO: 1512-0006 EXPIRATION DATE: 08/31/2003
RESPS:40,000 HOURS:8,000 COSTS(000):$0
Report of Multiple Sales or Other Disposition of Pistols and
Revolvers
FORMS: ATF-F-3310.4
OMB NO: 1512-0007 EXPIRATION DATE: 08/31/2004
RESPS:338 HOURS:338 COSTS(000):$0
Interstate Firearms Shipment Report of Theft/Loss
FORMS: ATF-FORM-3310.6
OMB NO: 1512-0017 EXPIRATION DATE: 06/30/2002
RESPS:11,000 HOURS:5,500 COSTS(000):$0
Application and Permit for Importation of Firearms, Ammunition
and Implements of War
FORMS: FORM-6 5330.3A-PART-I
OMB NO: 1512-0018 EXPIRATION DATE: 09/30/2003
RESPS:9,000 HOURS:4,500 COSTS(000):$0
Application and Permit for Importation of Firearms, Ammunition
and Implements of War
FORMS: ATF-FORM-6 PARTII(5330.3B)
OMB NO: 1512-0019 EXPIRATION DATE: 12/31/2003
RESPS:20,000 HOURS:8,000 COSTS(000):$0
Release and Receipt of Imported firearms, Ammunition and
Implements of War
FORMS: ATF-FORM-6A (5330.3C)
OMB NO: 1512-0020 EXPIRATION DATE: 04/30/2003
RESPS:350 HOURS:1,050 COSTS(000):$0
Application and Permit for Permanent Exportation of Firearms
FORMS: FORM-9(5320.9)
OMB NO: 1512-0021 EXPIRATION DATE: 01/31/2004
RESPS:300 HOURS:150 COSTS(000):$0
Application to Register as an Importer of U.S. Munitions Import
List Articles
FORMS: ATF-F-4587 (5330.4)
OMB NO: 1512-0022 EXPIRATION DATE: 04/30/2003
RESPS:800 HOURS:400 COSTS(000):$0
Application to Transport Interstate or Temporarily Export
Certain National Firearms Act (NFA) Firearms
FORMS: FORM-5320.20
OMB NO: 1512-0024 EXPIRATION DATE: 02/29/2004
RESPS:1,071 HOURS:4,271 COSTS(000):$0
Application to Make and Register a Firearm
FORMS: ATF1(5320.1)
OMB NO: 1512-0025 EXPIRATION DATE: 05/31/2004
RESPS:5,000 HOURS:3,750 COSTS(000):$0
Notice of Firearms Manufactured or Imported
FORMS: ATF-F-2(5320.2)
OMB NO: 1512-0026 EXPIRATION DATE: 07/31/2004
RESPS:26,221 HOURS:13,111 COSTS(000):$0
Application for Tax Exempt Transfer of Firearm and Registration
to Special (Occupational) Taxpayer
FORMS: FORM-3(5320.3)
OMB NO: 1512-0027 EXPIRATION DATE: 08/31/2004
RESPS:11,065 HOURS:44,260 COSTS(000):$0
Application for Tax Paid Transfer and Registration of Firearm
FORMS: FORM-4(5320.4)
OMB NO: 1512-0028 EXPIRATION DATE: 08/31/2004
RESPS:94,974 HOURS:379,896 COSTS(000):$0
Application for Tax Exempt Transfer and Registration of Firearm
FORMS: FORM5(5320.5)
OMB NO: 1512-0029 EXPIRATION DATE: 01/31/2005
RESPS:1,200 HOURS:300 COSTS(000):$0
Application for Registration of Firearms Acquired by Certain
Governmental Entities
FORMS: FORM-10(5320.10
OMB NO: 1512-0030 EXPIRATION DATE: 07/31/2003
RESPS:1,500 HOURS:1,125 COSTS(000):$0
Annual Firearms Manufacturing and Exportation Report
FORMS: ATF-F-5300.11
OMB NO: 1512-0033 EXPIRATION DATE: 08/31/2004
RESPS:50 HOURS:50 COSTS(000):$0
Tax Authorization Information
FORMS: ATF-F-1534-A 5000.19
OMB NO: 1512-0034 EXPIRATION DATE: 09/30/2002
RESPS:5,000 HOURS:10,000 COSTS(000):$0
Personnel Questionnaire, Alcohol and Tobacco Products
FORMS: ATF-F-5000.9
OMB NO: 1512-0035 EXPIRATION DATE: 08/31/2004
RESPS:500 HOURS:500 COSTS(000):$0
Referral of Information
FORMS: ATF-F-5000.21
OMB NO: 1512-0038 EXPIRATION DATE: 07/31/2003
RESPS:2,000 HOURS:500 COSTS(000):$0
Authorization to furnish Financial Information and Certificate
of Compliance
FORMS: ATF-F-5030.6
OMB NO: 1512-0042 EXPIRATION DATE: 02/29/2004
RESPS:10,000 HOURS:12,500 COSTS(000):$0
Application for License under 18 U.S.C. Chapter 44, Firearms
FORMS: ATF7(5310.12)
OMB NO: 1512-0043 EXPIRATION DATE: 08/31/2004
RESPS:35,000 HOURS:14,700 COSTS(000):$0
Application for Renewal of Federal Firearms License
FORMS: ATF-F-8 5310.11PARTII
OMB NO: 1512-0045 EXPIRATION DATE: 02/29/2004
RESPS:10,500 HOURS:9,625 COSTS(000):$4
Letterhead applications and notices filed by brewers
FORMS: 5130.10 5130/2
OMB NO: 1512-0046 EXPIRATION DATE: 01/31/2005
RESPS:20 HOURS:40 COSTS(000):$0
Applications - Volatile Fruit-Flavor Concentrate Plants, ATF REC
5520/2 Final Rule
FORMS: ATF-F-27-G (5520.3)
OMB NO: 1512-0052 EXPIRATION DATE: 05/31/2004
RESPS:7,800 HOURS:7,800 COSTS(000):$0
Brewer's Report of Operations and Brewpud Report of Operations
FORMS: 5130.9 5130.26
OMB NO: 1512-0057 EXPIRATION DATE: 10/31/2002
RESPS:200 HOURS:100 COSTS(000):$0
Application and Permit to Ship Liquors and Articles of Puerto
Rican Manufacture Taxpaid
FORMS: ATF-F-487-B (5170.7)
OMB NO: 1512-0058 EXPIRATION DATE: 04/30/2003
RESPS:810 HOURS:810 COSTS(000):$0
Application to Establish and Operate Wine Premises Wine Bond
FORMS: ATF-F5120.25 ATF-F5120.36
OMB NO: 1512-0059 EXPIRATION DATE: 07/31/2003
RESPS:600 HOURS:1,200 COSTS(000):$0
Bonded Wineries-Formula and Process for Wine, Letterhead
Applications and Notices Relating to Formula Wine.
FORMS: ATF-F-5120.29
OMB NO: 1512-0073 EXPIRATION DATE: 08/31/2003
RESPS:2,683 HOURS:2,415 COSTS(000):$0
Formula and/or process for articles made with specially
denatured spirits
FORMS: ATF-F-5150.19
OMB NO: 1512-0075 EXPIRATION DATE: 08/31/2003
RESPS:2,765 HOURS:830 COSTS(000):$0
Users' Report of Denatured Spirits
FORMS: ATF-F-5150.18
OMB NO: 1512-0078 EXPIRATION DATE: 06/30/2002
RESPS:2,000 HOURS:2,000 COSTS(000):$0
Consent of Surety
FORMS: ATF-F-1533 (5000.18)
OMB NO: 1512-0079 EXPIRATION DATE: 04/30/2003
RESPS:10,000 HOURS:3,000 COSTS(000):$0
Powe of Attorney
FORMS: ATF-F-5000.8
OMB NO: 1512-0081 EXPIRATION DATE: 05/31/2004
RESPS:800 HOURS:600 COSTS(000):$0
Brewer's Bonds and Continuation Certificates
FORMS: 5130.22 5130.23 5130.25 5130.27
OMB NO: 1512-0082 EXPIRATION DATE: 07/31/2003
RESPS:1,800 HOURS:2,025 COSTS(000):$0
Drawback on Wines Exported
FORMS: 1582-A 5120.24
OMB NO: 1512-0083 EXPIRATION DATE: 12/31/2004
RESPS:5,000 HOURS:5,000 COSTS(000):$3,000
Drawback on Beer Exported
FORMS: ATF-F-1582-B (5130.6)
OMB NO: 1512-0089 EXPIRATION DATE: 05/31/2005
RESPS:1,600 HOURS:2,800 COSTS(000):$0
Application for Basic Permit Under the Federal Alcohol
Administration Act
FORMS: ATF-F-5100.24
OMB NO: 1512-0090 EXPIRATION DATE: 05/31/2005
RESPS:1,200 HOURS:600 COSTS(000):$0
Application for Amended Basic Permit Under the Federal Alcohol
Administration Act
FORMS: ATF-F-5100.19 (1643)
OMB NO: 1512-0092 EXPIRATION DATE: 06/30/2004
RESPS:57,131 HOURS:28,565 COSTS(000):$0
Application for Certification/Exemption of Label/Bottle Approval
Under the Federal Alcohol Administration Act ATF F 5100.31
FORMS: ATF-F-5100.31
OMB NO: 1512-0095 EXPIRATION DATE: 01/31/2005
RESPS:5,000 HOURS:2,500 COSTS(000):$0
Formula and Process for Nonbeverage Product
FORMS: 5154.1
OMB NO: 1512-0096 EXPIRATION DATE: 01/31/2003
RESPS:23,520 HOURS:38,808 COSTS(000):$0
Beer for Exportation
FORMS: ATF-F-5130.12
OMB NO: 1512-0098 EXPIRATION DATE: 02/28/2005
RESPS:91 HOURS:30 COSTS(000):$0
Annual Report of Concentrate Manufacturers and Usual and
Customery Business Records Volatile Fruit-Flavor Concentrate
FORMS: 5520.2 5520/1
OMB NO: 1512-0100 EXPIRATION DATE: 06/30/2002
RESPS:8,800 HOURS:4,400 COSTS(000):$0
Environmental Information -- ATF F 5000.29 Supplimental
Information on Water Quality Considerations under 33 U.S.C.
1341(a) -- ATF F 5000.30
FORMS: ATF-F-5000.29 ATF-F-5000.30
OMB NO: 1512-0115 EXPIRATION DATE: 06/30/2004
RESPS:2,652 HOURS:2,148 COSTS(000):$0
Monthly Report - Export Warehouse Proprietor
FORMS: ATF-F-2140 (5220.4)
OMB NO: 1512-0116 EXPIRATION DATE: 04/30/2004
RESPS:1,224 HOURS:306 COSTS(000):$0
Notice of Release of Tobacco Products, Cigarette Papers, or
Cigarette Tubes
FORMS: ATF-F-5200.11
OMB NO: 1512-0117 EXPIRATION DATE: 09/30/2002
RESPS:288 HOURS:144 COSTS(000):$0
Claim for Drawback of Tax on Cigars, Cigarettes, Cigarette
Papers, and Cigarette Tubes
FORMS: ATF-F-5620.7 (2147)
OMB NO: 1512-0119 EXPIRATION DATE: 12/31/2003
RESPS:72,900 HOURS:18,500 COSTS(000):$0
Notice of Removal of Tobacco Products, Cigarette Papers or
Cigarette Tubes
FORMS: ATF-F-5200.14 (2149/2150)
OMB NO: 1512-0129 EXPIRATION DATE: 06/30/2002
RESPS:10,225,000 HOURS:3,408,333 COSTS(000):$0
Firearms Transaction Record, PArt I, Over-the-Counter ATF F 4473
Part I
FORMS: 4473(5300.9) PART-I
OMB NO: 1512-0130 EXPIRATION DATE: 04/30/2005
RESPS:20,900 HOURS:9,057 COSTS(000):$0
Firearms Transaction Record, Part II Non-Over-The-Counter
FORMS: 4473(5300.9) PARTII
OMB NO: 1512-0131 EXPIRATION DATE: 07/31/2003
RESPS:2,500 HOURS:825 COSTS(000):$0
Renewal of Explosives License or Permit
FORMS: 5400.14 5400.15 PART-III
OMB NO: 1512-0133 EXPIRATION DATE: 01/31/2003
RESPS:25,000 HOURS:2,500 COSTS(000):$0
Explosives Delivery Record
FORMS: ATF-F-50400.8
OMB NO: 1512-0137 EXPIRATION DATE: 04/30/2003
RESPS:1,476 HOURS:1,476 COSTS(000):$0
Application for an industrial alcohol user permit and industrial
alcohol bond
FORMS: ATF-F-5150.22 ATF-F-5150.25
OMB NO: 1512-0138 EXPIRATION DATE: 08/31/2003
RESPS:1,000 HOURS:500 COSTS(000):$0
Certification of Tax Determination - Wine (ATF F 5120.20(2650)
FORMS: ATF-F-5120.20
OMB NO: 1512-0141 EXPIRATION DATE: 06/30/2002
RESPS:10,000 HOURS:10,000 COSTS(000):$0
Claim: Alcohol, Tobacco, and Firearms Taxes
FORMS: ATF-F-5620.8
OMB NO: 1512-0144 EXPIRATION DATE: 06/30/2002
RESPS:1 HOURS:1 COSTS(000):$0
Specific and Continuing Transportation Bond-Distilled Spirits
and/or Wines Withdrawn for Transportation to Manufactoring
Bonded Warehouse-Class Six
FORMS: ATF-F-2736 (5100.12) ATF-F2737 (5100.67)
OMB NO: 1512-0156 EXPIRATION DATE: 10/31/2002
RESPS:300 HOURS:150 COSTS(000):$0
Computation of Tax and Agreement to Pay Tax on Puerto Rican
Cigars or Cigarettes
FORMS: ATF-F-2987 (5210.8)
OMB NO: 1512-0162 EXPIRATION DATE: 12/31/2003
RESPS:34 HOURS:170 COSTS(000):$0
Manufacturer of Tobacco Products
FORMS: ATF-F-3067 (5210.9)
OMB NO: 1512-0163 EXPIRATION DATE: 08/31/2002
RESPS:1,704 HOURS:1,674 COSTS(000):$0
Manufacturer of Tobacco Products Monthly Report
FORMS: ATF-F-5210.5
OMB NO: 1512-0164 EXPIRATION DATE: 12/31/2004
RESPS:1,420 HOURS:1,071 COSTS(000):$0
Schedule of Tobacco Products, Cigarette Papers or Tubes
Withdrawn from the Market
FORMS: ATF-F-3069 (5200.7)
OMB NO: 1512-0171 EXPIRATION DATE: 09/30/2002
RESPS:10 HOURS:50 COSTS(000):$0
Inventory, Export Warehouse Proprietor
FORMS: ATF-FORM-5220.3
OMB NO: 1512-0178 EXPIRATION DATE: 06/30/2002
RESPS:1 HOURS:250 COSTS(000):$0
Report of Firearms Transaction -- ATF F 4483 (5300.35)
FORMS: ATF-F-4483 (5300.35)
OMB NO: 1512-0182 EXPIRATION DATE: 08/31/2004
RESPS:2,100 HOURS:812 COSTS(000):$46,886
Application for License or Permit Under 18 U.S.C., Chapter 40,
Explosives
FORMS: ATF-F-5400/13 5400.16
OMB NO: 1512-0184 EXPIRATION DATE: 06/30/2004
RESPS:22,800 HOURS:7,227 COSTS(000):$0
ATF F 5400.5, Explosives Transaction Record
FORMS: FORM-5400.4
OMB NO: 1512-0185 EXPIRATION DATE: 09/30/2002
RESPS:250 HOURS:450 COSTS(000):$0
Report of Theft or Loss of Explosives
FORMS: ATF-F-5400.5
OMB NO: 1512-0188 EXPIRATION DATE: 06/30/2004
RESPS:1,000 HOURS:250 COSTS(000):$0
Signing Authority for Corporate Officials
FORMS: ATF-F-5100.1
OMB NO: 1512-0190 EXPIRATION DATE: 09/30/2002
RESPS:6,000 HOURS:6,000 COSTS(000):$0
Withdrawal of Spirits, Specially Denatured Spirits, or Wines for
Exportation
FORMS: ATF-F-5100.11
OMB NO: 1512-0191 EXPIRATION DATE: 08/31/2003
RESPS:1,500 HOURS:300 COSTS(000):$0
Application for Transfer of Spirits and/or Denatured Spirits in
Bond
FORMS: ATF-F-5100.16
OMB NO: 1512-0192 EXPIRATION DATE: 08/31/2003
RESPS:2,760 HOURS:5,520 COSTS(000):$0
Distilled Spirits Plants Warehousing Records, ATF Rec 5110/02
and Reports, ATF F 5110.11
FORMS: ATF-REC-5110/02 ATF-F-5110.11
OMB NO: 1512-0195 EXPIRATION DATE: 09/30/2002
RESPS:80 HOURS:20 COSTS(000):$0
Application for Operating Permit under 26 U.S.C. 5171(d) -- ATF
F 5110.25
FORMS: ATF-F-5110.25
OMB NO: 1512-0198 EXPIRATION DATE: 06/30/2004
RESPS:134 HOURS:3,886 COSTS(000):$0
Distilled Spirits Plant Monthly Report of Processing Operations
FORMS: ATF-F-5110.28 ATF-REC-5110/03
OMB NO: 1512-0199 EXPIRATION DATE: 10/31/2002
RESPS:5,000 HOURS:10,000 COSTS(000):$0
Drawback on Distilled Spirits Exported
FORMS: FORM-5110.30
OMB NO: 1512-0200 EXPIRATION DATE: 08/31/2002
RESPS:1,000 HOURS:450 COSTS(000):$0
Application and Permit To Ship Puerto Rican Spirits to the
United States Without Payment of Tax
FORMS: ATF-F-5110.31
OMB NO: 1512-0202 EXPIRATION DATE: 10/31/2004
RESPS:1,000 HOURS:1,000 COSTS(000):$0
Notice of Change in Status of Plant
FORMS: 5110.34
OMB NO: 1512-0203 EXPIRATION DATE: 08/31/2003
RESPS:3,458 HOURS:3,458 COSTS(000):$0
Distilled Spirits Plants - Excise Taxes - ATF REC 5110/06
FORMS: NONE
OMB NO: 1512-0204 EXPIRATION DATE: 08/31/2003
RESPS:4,000 HOURS:4,000 COSTS(000):$0
Formula for Distilled Spirits under the Federal Alcohol
Administration Act (Supplemental) ATF F 5110.38
FORMS: ATF-F-5110.38
OMB NO: 1512-0205 EXPIRATION DATE: 07/31/2003
RESPS:1,800 HOURS:3,600 COSTS(000):$0
Distilled Spirits Records and Monthly Report of Production
Operations
FORMS: ATF-REC-5110/01 ATF-F-5110.40
OMB NO: 1512-0206 EXPIRATION DATE: 04/30/2003
RESPS:950 HOURS:1,620 COSTS(000):$0
Miscellaneous Requests and Notices for Distilled Spirits Plants
FORMS: ATF-F5110.41
OMB NO: 1512-0207 EXPIRATION DATE: 08/31/2003
RESPS:1,176 HOURS:1,176 COSTS(000):$0
Distilled Spirits Plant (DSP) Denaturation Records and Reports
FORMS: ATF-F-5110.43 ATF-REC-5110/04
OMB NO: 1512-0209 EXPIRATION DATE: 10/31/2004
RESPS:10 HOURS:10 COSTS(000):$0
Tax Deferral Bond - Distilled Spirits (Puerto Rico)
FORMS: 5110.50
OMB NO: 1512-0214 EXPIRATION DATE: 10/31/2002
RESPS:17 HOURS:1,321 COSTS(000):$0
Application and Permit under 26 U.S.C. 5181, Alcohol Fuel
Producer
FORMS: FORM-5110.74
OMB NO: 1512-0215 EXPIRATION DATE: 09/30/2003
RESPS:871 HOURS:871 COSTS(000):$0
Alcohol Fuel Plants (AFP) Records, Reports and Notices
FORMS: REC-5110/10 ATF-F-5110.75
OMB NO: 1512-0216 EXPIRATION DATE: 06/30/2002
RESPS:9,675 HOURS:10,642 COSTS(000):$0
Report of Wine Premises Operations
FORMS: ATF-F-5120.17
OMB NO: 1512-0221 EXPIRATION DATE: 08/31/2004
RESPS:40 HOURS:80 COSTS(000):$0
Offer in compromise of liability incurred under the provisions
of Title 26 U.S.C. enforced and administered by the Bureau of
Alcohol, Tobacco and Firearms
FORMS: ATF-F-5640.1
OMB NO: 1512-0222 EXPIRATION DATE: 01/31/2005
RESPS:12 HOURS:24 COSTS(000):$0
Offer in Compromise of liability incurred under Federal Alcohol
Administration Act, as amended
FORMS: ATF-F-5640.2
OMB NO: 1512-0242 EXPIRATION DATE: 08/31/2004
RESPS:1,092 HOURS:22 COSTS(000):$0
User-limited (Explosives) ATF F 5400.6
FORMS: ATF-FORM-5400.6
OMB NO: 1512-0247 EXPIRATION DATE: 07/31/2003
RESPS:325 HOURS:325 COSTS(000):$0
Manufacturers of Ammunition, Records and Supporting Data of
Ammunition Manufactured and Disposed of
FORMS: ATF-REC-5000/2
OMB NO: 1512-0250 EXPIRATION DATE: 08/31/2003
RESPS:278 HOURS:6,060 COSTS(000):$0
Distilled Spirits Plants - Transaction and Supporting Records
FORMS: ATF-REC-5110/5
OMB NO: 1512-0292 EXPIRATION DATE: 07/31/2003
RESPS:1,650 HOURS:825 COSTS(000):$0
Letterhead Applications and Notices Relating to Wine
FORMS: ATF-REC-5120/2
OMB NO: 1512-0298 EXPIRATION DATE: 01/31/2003
RESPS:1,650 HOURS:165 COSTS(000):$0
Usual and Customary Business Records Relating to Wine
FORMS: ATF-REC-5120/1
OMB NO: 1512-0333 EXPIRATION DATE: 04/30/2004
RESPS:1,400 HOURS:1 COSTS(000):$0
Usual and Customary Business Records Maintained by Brewers
FORMS: ATF-REC-5130/1
OMB NO: 1512-0334 EXPIRATION DATE: 12/31/2003
RESPS:4,560 HOURS:1 COSTS(000):$0
Usual and Customary Business Records Relating to Tax-Free
Alcohol ATF REC 5150/3
FORMS: NONE
OMB NO: 1512-0335 EXPIRATION DATE: 07/31/2003
RESPS:4,444 HOURS:2,222 COSTS(000):$0
Letterhead Applications and Notices Relating to Tax-Free Alcohol
FORMS: ATF-REC-5150/4
OMB NO: 1512-0336 EXPIRATION DATE: 12/31/2003
RESPS:3,111 HOURS:1,556 COSTS(000):$0
Letterhead Applications and Notices Relating to Denatured
Spirits ATF REC 5150/2
FORMS: ATF-REC-5150/2
OMB NO: 1512-0337 EXPIRATION DATE: 12/31/2004
RESPS:3,111 HOURS:1 COSTS(000):$0
Usual and Customary Business Records Relating to Denatured
Spirits
FORMS: ATF-REC-5150/1
OMB NO: 1512-0341 EXPIRATION DATE: 04/30/2003
RESPS:40 HOURS:21 COSTS(000):$0
Stills: Notices, Registration, and Records ATF Rec 5150/8
FORMS: ATF-REC-5150/8
OMB NO: 1512-0352 EXPIRATION DATE: 09/30/2003
RESPS:500 HOURS:251 COSTS(000):$0
"ATF Recordkeeping and Reporting 5170/1 Importer's Records and
Reports"
FORMS: ATF-REC-5170/1
OMB NO: 1512-0353 EXPIRATION DATE: 01/31/2005
RESPS:600 HOURS:1,200 COSTS(000):$0
ATF REC 5170/2 Wholesale Dealers of Receipt of Alcoholic
Beverages, Disposition of Distilled Spirits, and Monthly Summary
Report
FORMS: ATF-REC-5170/2
OMB NO: 1512-0354 EXPIRATION DATE: 04/30/2003
RESPS:45,000 HOURS:1 COSTS(000):$0
Stills: Retail Liquor Dealers Records of Receipts of Alcoholic
Beverages and Commercial Invoices ATF Rec 5170/3
FORMS: ATF-REC-5170/3
OMB NO: 1512-0357 EXPIRATION DATE: 04/30/2003
RESPS:1,029 HOURS:515 COSTS(000):$0
Wholesale Dealers Applications, letterheads, and notice relating
to operations. (variations in format or preparation of records)
ATF REC 5170/6
FORMS: ATF-REC-5170/6
OMB NO: 1512-0358 EXPIRATION DATE: 12/31/2003
RESPS:108 HOURS:16,200 COSTS(000):$0
Tobacco Products Manufactures - Records of Operations ATF REC
5210/1
FORMS: ATF-REC-5210/1
OMB NO: 1512-0363 EXPIRATION DATE: 12/31/2004
RESPS:101 HOURS:505 COSTS(000):$0
Tobacco Products Manufacturers - Supporting Records for Removals
for the Use of the United States
FORMS: ATF-REC-5210/6
OMB NO: 1512-0367 EXPIRATION DATE: 09/30/2003
RESPS:221 HOURS:1 COSTS(000):$0
Tobacco Export Warehouse-Record of Operations ATF-REC-5220/1
FORMS: ATF-REC-5220/1
OMB NO: 1512-0368 EXPIRATION DATE: 12/31/2003
RESPS:108 HOURS:252 COSTS(000):$0
Tobacco Products Importer or Manufacturer-Records of Large Cigar
Wholesale Prices
FORMS: ATF-REC-5230/1
OMB NO: 1512-0369 EXPIRATION DATE: 06/30/2002
RESPS:4,304,000 HOURS:76,611 COSTS(000):$0
Licensed Firearms Manufacturers Records of Production,
Disposition, and Supporting Data
FORMS: ATF-REC-5300/1
OMB NO: 1512-0371 EXPIRATION DATE: 08/31/2004
RESPS:26,212 HOURS:26,212 COSTS(000):$0
Inventories, Licensed Explosives Importers, Manufacturers,
Dealers, and Permittees
FORMS: ATF-REC-5400/1
OMB NO: 1512-0372 EXPIRATION DATE: 08/31/2002
RESPS:68,335 HOURS:68,835 COSTS(000):$0
Records and Supporting Data: Daily Summaries; Records of
Production, Storage, and Disposition; and Supporting Data by
License Explosives Manufacturers
FORMS: ATF-REC-5400/2
OMB NO: 1512-0373 EXPIRATION DATE: 12/31/2004
RESPS:132,754 HOURS:132,754 COSTS(000):$0
RECORDS AND SUPPORTING DATA: Importation, Receipt, Storage, and
Disposition by Licensed Explosives Manufacturers, Importers,
Dealers, and Users
FORMS: ATF-REC-5400/A
OMB NO: 1512-0378 EXPIRATION DATE: 09/30/2003
RESPS:1,280 HOURS:640 COSTS(000):$0
ATF REC 5530/1 Applications and Notices--Manufacturere of
Nonbeverage Products
FORMS: ATF-REC-5530/A
OMB NO: 1512-0379 EXPIRATION DATE: 01/31/2005
RESPS:611 HOURS:12,831 COSTS(000):$0
ATF REC 5530/2 Manufacturers of Nonbeverage Products-Records to
Support Claims for Drawback
FORMS: ATF-REC-5530/2
OMB NO: 1512-0384 EXPIRATION DATE: 04/30/2003
RESPS:25 HOURS:2,500 COSTS(000):$0
ATF REC 5620/2 Airlines Withdrawing Stock from Customs Custody
FORMS: ATF-REC-5620/2
OMB NO: 1512-0385 EXPIRATION DATE: 01/31/2005
RESPS:120 HOURS:7,200 COSTS(000):$0
Proprietors or Claimants Exporting Liquors ATF REC 5900/1
FORMS: ATF-REC-5900/1
OMB NO: 1512-0386 EXPIRATION DATE: 06/30/2002
RESPS:5 HOURS:250 COSTS(000):$0
Records of Aquisition and Disposition; Registered Importers of
Arms, Ammunition, and Implements of War on the U.S. Munitions
Imports List -- ATF REC 7570/1
FORMS: ATF-REC-7570/1
OMB NO: 1512-0387 EXPIRATION DATE: 02/29/2004
RESPS:172,250 HOURS:559,791 COSTS(000):$0
Records of Acquisition and Disposition, Collectors of Firearms
FORMS: 7570/2 7570/3
OMB NO: 1512-0390 EXPIRATION DATE: 04/30/2004
RESPS:3,000 HOURS:1,500 COSTS(000):$0
Request for Disposition of Offense
FORMS: FORM-5020.29
OMB NO: 1512-0391 EXPIRATION DATE: 12/31/2004
RESPS:9,500 HOURS:1,140,000 COSTS(000):$0
Tobacco - Record of Disposition of More than 60,000 Cigarettes
in a Single Transaction ATF REC 5210/10
FORMS: ATF-REC-5210/10
OMB NO: 1512-0392 EXPIRATION DATE: 09/30/2003
RESPS:12,665 HOURS:51 COSTS(000):$0
Records of Things of Value to Retailers, and Occasional Letter
Reports from Industry Members Regarding Information on
Sponsorships Advertisements, Promotions, etc., Under the Federal
FORMS: ATF-REC-5190/1
OMB NO: 1512-0398 EXPIRATION DATE: 10/31/2004
RESPS:630 HOURS:1,130 COSTS(000):$8
Application for Permit Under 26 USC Chapter 52 - Manufacturer of
Tobacco Products Importer of Tabacco Products, or Proprietor of
Export Warehouse and Application for Amended Permit
FORMS: 5712 2093 2098 5230.4 5230.5
OMB NO: 1512-0399 EXPIRATION DATE: 12/31/2002
RESPS:1,800 HOURS:540 COSTS(000):$0
Application Permit for User Limited Special Fireworks,
Explosives -- 18 U.S.C. Chapter 40
FORMS: ATF-F-5400.21
OMB NO: 1512-0418 EXPIRATION DATE: 06/30/2002
RESPS:2 HOURS:2 COSTS(000):$0
Application for Enrollment to Practice Before the Bureau of
Alcohol, Tobacco and Firearms
FORMS: ATF-F-5000.12
OMB NO: 1512-0460 EXPIRATION DATE: 08/31/2003
RESPS:281 HOURS:1 COSTS(000):$0
Equipment and Structures
FORMS: ATF-REC-5110/12
OMB NO: 1512-0462 EXPIRATION DATE: 08/31/2003
RESPS:1 HOURS:1 COSTS(000):$0
Registration and Records of Vinegar Vaporizing Plants
FORMS: ATF-REC-5110/9
OMB NO: 1512-0466 EXPIRATION DATE: 08/31/2003
RESPS:500 HOURS:200 COSTS(000):$0
Alternate Methods or Procedures and Emergency Variations From
Requirements For Exports of Liquors
FORMS: ATF-REC-5170/7
OMB NO: 1512-0467 EXPIRATION DATE: 08/31/2002
RESPS:50,400 HOURS:35,280 COSTS(000):$0
Excise Tax Return, Alcohol and Tobacco
FORMS: ATF-FORM5000.24
OMB NO: 1512-0469 EXPIRATION DATE: 08/31/2003
RESPS:4,787 HOURS:3,159 COSTS(000):$0
Labeling of Sulfites in Alcoholic Beverages
FORMS: NONE
OMB NO: 1512-0472 EXPIRATION DATE: 09/30/2002
RESPS:90,700 HOURS:72,778 COSTS(000):$0
Special Tax Registration and Return, Alcohol and Tobacco Special
Tax Registration and Return, National Firearms Act (NFA)
FORMS: ATF-F-5630.5 ATF-F-5630.7
OMB NO: 1512-0474 EXPIRATION DATE: 02/29/2004
RESPS:1,200 HOURS:1 COSTS(000):$0
Principal Place of Business on Beer Labels
FORMS: 5130/5
OMB NO: 1512-0478 EXPIRATION DATE: 04/30/2004
RESPS:1,400 HOURS:1 COSTS(000):$0
Marks on Equipment and Structures and Marks and Labels on
Containers of Beer
FORMS: ATF-REC-5130/3 ATF-REC-5130/4
OMB NO: 1512-0482 EXPIRATION DATE: 02/28/2003
RESPS:6,060 HOURS:1 COSTS(000):$0
Labeling and Advertising Requirements under the Federal Alcohol
Administration Act
FORMS: ATF-5001/1
OMB NO: 1512-0490 EXPIRATION DATE: 04/30/2005
RESPS:5,000 HOURS:1,042 COSTS(000):$0
Firearms Transaction Record Part I--Low Volume-Over-the-Counter
Firearms Transaction Record Part II--Low Volume-Intra-State Non-
Over-the-Counter ATF REC 7570/2
FORMS: ATF-F-4473 (5300.24)PT-I ATF-F-4473 (5300.25)PT-II ATF-REC7570/2
OMB NO: 1512-0492 EXPIRATION DATE: 04/30/2003
RESPS:503,921 HOURS:503,921 COSTS(000):$0
Alcohol, Tobacco and Firearms Tax Returns, Claims and Related
Documents
FORMS: ATF-REC-5000/24
OMB NO: 1512-0493 EXPIRATION DATE: 09/30/2002
RESPS:28,000 HOURS:2,380 COSTS(000):$9
Letterhead Request for Information in Regard to Federal Firearms
Dealer's Records (Dealer's Records of Acquisition, Disposition,
and Supporting Data)
FORMS: ATF-F-5300.3
OMB NO: 1512-0494 EXPIRATION DATE: 04/30/2003
RESPS:120 HOURS:120 COSTS(000):$0
Liquors and Articles from Puerto Rico or the Virgin Islands
FORMS: ATF-REC-5530/3
OMB NO: 1512-0497 EXPIRATION DATE: 08/31/2002
RESPS:520 HOURS:130 COSTS(000):$0
Excise Tax Return, Alcohol and Tobacco (Puerto Rico)
FORMS: ATF-FORM5000.25
OMB NO: 1512-0500 EXPIRATION DATE: 06/30/2004
RESPS:350,000 HOURS:100,500 COSTS(000):$510
Special Tax Renewal Registration and Return/Special Tax Location
Registration Listing
FORMS: ATF-F-5630.5-R ATF-5630.5RC
OMB NO: 1512-0502 EXPIRATION DATE: 01/31/2004
RESPS:108 HOURS:1 COSTS(000):$0
Tobacco Products Manufacturers - Notice For Tobacco Products,
ATF REC 5210/12 and Records of Operations, ATF REC 5210/1
FORMS: NONE
OMB NO: 1512-0503 EXPIRATION DATE: 09/30/2002
RESPS:1 HOURS:1 COSTS(000):$0
Marks on Wine Containers
FORMS: ATF-REC-5120/3
OMB NO: 1512-0506 EXPIRATION DATE: 09/30/2003
RESPS:12 HOURS:3 COSTS(000):$0
Application For Extension of Time For Payment of Tax
FORMS: ATF-F-5600.38
OMB NO: 1512-0507 EXPIRATION DATE: 05/31/2005
RESPS:4 HOURS:27,020 COSTS(000):$66,660
Federal Firearms and Ammunition Excise Tax
FORMS: ATF-F-5300.26
OMB NO: 1512-0508 EXPIRATION DATE: 05/31/2004
RESPS:125 HOURS:375 COSTS(000):$0
Application for Registration for Tax-Free Transactions Under 26
U.S.C. 4221
FORMS: ATF-F-5300.28 ATF-REC-5300/28
OMB NO: 1512-0509 EXPIRATION DATE: 08/31/2004
RESPS:18 HOURS:770 COSTS(000):$0
ATF F 5300.27, Federal Firearms and Ammunition Excise Tax Deposit
FORMS: ATF-F-5300.27
OMB NO: 1512-0510 EXPIRATION DATE: 02/29/2004
RESPS:5 HOURS:3 COSTS(000):$0
Letter Application to Obtain Authorization for the Assembly of a
Nonsporting Rifle or Nonsporting Shotgun for the Purpose of
Testing and Evaluation
FORMS: NONE
OMB NO: 1512-0512 EXPIRATION DATE: 07/31/2003
RESPS:10 HOURS:1 COSTS(000):$0
Notices Relating to Payment of Firearms and Ammunition Excise Tax
FORMS: NONE
OMB NO: 1512-0514 EXPIRATION DATE: 09/30/2003
RESPS:3,540 HOURS:3,540 COSTS(000):$0
Supporting Data for Nonbeverage Drawback Claims
FORMS: ATF-F-5154.2
OMB NO: 1512-0518 EXPIRATION DATE: 05/31/2004
RESPS:6,000 HOURS:1,500 COSTS(000):$0
Application for License, Collector of Curios and Relics
FORMS: ATF-F-7CR 5310.16
OMB NO: 1512-0524 EXPIRATION DATE: 05/31/2003
RESPS:4,000 HOURS:1,600 COSTS(000):$0
Federal Firearms Licensee Theft/Loss Report ATF F 3310.11
FORMS: ATF-F-3310.11
OMB NO: 1512-0525 EXPIRATION DATE: 07/31/2004
RESPS:18,000 HOURS:22,500 COSTS(000):$0
ATF F 5300.38, Application for an Amended Federal Firearms
License
FORMS: ATF-F-5300.38
OMB NO: 1512-0526 EXPIRATION DATE: 07/31/2004
RESPS:2,107,000 HOURS:458,942 COSTS(000):$0
Implementation of Public Law 103-322, The Violent Crime Control
and Law Enforcement Act of 1994
FORMS: NONE
OMB NO: 1512-0528 EXPIRATION DATE: 01/31/2005
RESPS:1 HOURS:1 COSTS(000):$0
Administrative Remedies - Closing Agreements
FORMS: NONE
OMB NO: 1512-0529 EXPIRATION DATE: 07/31/2002
RESPS:25 HOURS:25 COSTS(000):$0
ATF F 1676(5510.2) Bond Covering Removal To and Use of Wine At
Vinegar Plant
FORMS: ATF1676/5510.2
OMB NO: 1512-0530 EXPIRATION DATE: 04/30/2003
RESPS:20 HOURS:180 COSTS(000):$0
Applications, notices, and relative to importation and
exportation of distilled spirits, wine and beer, including
Puerto Rico and Virgin Islands
FORMS: NONE
OMB NO: 1512-0532 EXPIRATION DATE: 02/28/2005
RESPS:120 HOURS:1 COSTS(000):$0
Marks and Notices on Packages of Tobacco Products
FORMS: 5210/13
OMB NO: 1512-0533 EXPIRATION DATE: 01/31/2005
RESPS:1 HOURS:5 COSTS(000):$0
Drawback of Tax on Tobacco Products and Cigarette Papers and
Tubes-Export Shipment
FORMS: ATF-REC-5210/2
OMB NO: 1512-0534 EXPIRATION DATE: 07/31/2002
RESPS:15 HOURS:25 COSTS(000):$0
Bond-Export Warehouse Proprietor/Export Bond-Customs Bonded
Cigar Manufacturing Warehouse/Extension of Coverage of Bond/Bond
Under 26 U.S.C.6423/Bond-Manufacturer of Tobacco Products
FORMS: ATF2103/5220.5 ATF2104/5200.15 ATF2105/5000.7 ATF2490/5620.10
ATF3070/5210.13
OMB NO: 1512-0536 EXPIRATION DATE: 01/31/2003
RESPS:20,114 HOURS:60,342 COSTS(000):$0
Notification to Fire Marshal and Chief Law Enforcement Officer
of Storage of Explosive Materials
FORMS: NONE
OMB NO: 1512-0537 EXPIRATION DATE: 01/31/2003
RESPS:60 HOURS:12 COSTS(000):$0
"Bond for Drawback under 26 U.S.C. 5131" -- ATF Form 5154.3
FORMS: ATF-F-5154.3
OMB NO: 1512-0539 EXPIRATION DATE: 01/31/2004
RESPS:32 HOURS:16 COSTS(000):$0
Statement of Process-Marking of Plastic Explosives for the
Purpose of Detection
FORMS: NONE
OMB NO: 1512-0540 EXPIRATION DATE: 07/31/2003
RESPS:2,500 HOURS:1 COSTS(000):$0
Information collected in support of small producer's wine tax
credit
FORMS: ATF-REC-5120/11
OMB NO: 1512-0541 EXPIRATION DATE: 09/30/2003
RESPS:183,933 HOURS:198,015 COSTS(000):$0
National Tracing Center Trace Request and NTC Obliterated Serial
Number Trace Request
FORMS: ATF-F-3312.1 ATF-F-3312.2
OMB NO: 1512-0543 EXPIRATION DATE: 12/31/2004
RESPS:1,556 HOURS:156 COSTS(000):$0
Annual Firearms Manufacturing and Exportation Report of
Semiautomatic Assault Weapons
FORMS: ATF-F-5300.11A
OMB NO: 1512-0544 EXPIRATION DATE: 08/31/2004
RESPS:9,248,000 HOURS:1 COSTS(000):$0
Implementation of Public Law 103-159, Relating to the Permanent
Provisions of the Brady Handgun Violence Prevention Act. "FINAL
RULE"
FORMS: NONE
OMB NO: 1512-0546 EXPIRATION DATE: 02/28/2005
RESPS:50,000 HOURS:389 COSTS(000):$0
Certification on Agency Letterhead Authorizing Purchase of
Firearm for Official Duties of Law Enforcement Officer
FORMS: NONE
OMB NO: 1512-0547 EXPIRATION DATE: 11/30/2004
RESPS:10,000 HOURS:500 COSTS(000):$0
Race and National Origin Identification
FORMS: ATF-F-2931.1
OMB NO: 1512-0548 EXPIRATION DATE: 05/31/2005
RESPS:400 HOURS:800 COSTS(000):$0
Gang Resistance Education and Training Funding Application
FORMS: ATF-F-6410.1
OMB NO: 1512-0549 EXPIRATION DATE: 09/30/2002
RESPS:75 HOURS:15 COSTS(000):$0
Application for National Firearm Examiner Academy
FORMS: ATF-F-6330.1
OMB NO: 1512-0550 EXPIRATION DATE: 08/31/2002
RESPS:2,506 HOURS:5,665 COSTS(000):$0
Identification Markings Placed on Firearms -- 27 CFR 178.92 and
179.102; 98R-341P (Proposed Rule)
FORMS: NONE
OMB NO: 1512-0551 EXPIRATION DATE: 11/30/2002
RESPS:31,000 HOURS:600 COSTS(000):$0
Certification of Secure Gun Storage or Safety Devices
FORMS: ATF-F5300.42
OMB NO: 1512-0552 EXPIRATION DATE: 11/30/2002
RESPS:18,000 HOURS:306 COSTS(000):$0
Open Letter to Federal Firearms Licensees
FORMS: NONE
OMB NO: 1512-0553 EXPIRATION DATE: 05/31/2003
RESPS:1,500 HOURS:450 COSTS(000):$0
Strategic Planning Environmental Assessment Outreach
FORMS: NONE
OMB NO: 1512-0554 EXPIRATION DATE: 07/31/2003
RESPS:400,000 HOURS:1 COSTS(000):$0
2000 Floor Stocks Tax Return (Cigarettes) and Recordkeeping
FORMS: ATF-F-5000.28T
OMB NO: 1512-0555 EXPIRATION DATE: 08/31/2003
RESPS:1,500 HOURS:1 COSTS(000):$0
Recordkeeping Requirements for Importers of Tobacco Products
FORMS: NONE
OMB NO: 1512-0556 EXPIRATION DATE: 10/31/2003
RESPS:500 HOURS:50 COSTS(000):$0
State and Local Training Registration Request
FORMS: 6400.1
OMB NO: 1512-0557 EXPIRATION DATE: 10/31/2003
RESPS:18,000 HOURS:14,400 COSTS(000):$0
Monthly Report - Tobacco Products Importer
FORMS: 5220.6
OMB NO: 1512-0558 EXPIRATION DATE: 10/31/2003
RESPS:929,000 HOURS:15,483 COSTS(000):$0
Notice of Proposed Rulemaking Commerce in Firearms and
Ammunition - Annual Inventory of Firearms
FORMS: NONE
OMB NO: 1512-0559 EXPIRATION DATE: 05/31/2004
RESPS:1,563 HOURS:1 COSTS(000):$0
Identification of Explosive Materials
FORMS: NONE
OMB NO: 1512-0560 EXPIRATION DATE: 01/31/2004
RESPS:100 HOURS:1 COSTS(000):$0
Recordkeeping for Tobacco Products & Cigarette Papers Brought
From Puerto Rico to the U.S.
FORMS: NONE
OMB NO: 1512-0561 EXPIRATION DATE: 09/30/2004
RESPS:25 HOURS:7 COSTS(000):$0
Electronic Filing User Access Enrollment Form
FORMS: ATF-F-5013.1
OMB NO: 1512-0562 EXPIRATION DATE: 04/30/2004
RESPS:165 HOURS:1 COSTS(000):$0
Recordkeeping for Tobacco Products Removed in Bond from
Manufacturers Premises for Experimental Purposes - 27 CFR 270.
232(d) TD NPRM
FORMS: NONE
OMB NO: 1512-0563 EXPIRATION DATE: 05/31/2004
RESPS:300 HOURS:225 COSTS(000):$0
Special Agent Medical Preplacement
FORMS: ATF-F-2300.10
OMB NO: 1512-0564 EXPIRATION DATE: 01/31/2005
RESPS:100 HOURS:17 COSTS(000):$0
Notice of proposed rulemaking: A National Repository for the
collection and inventory of information related to arson and the
criminal misuse of explosives
FORMS: NONE
OMB NO: 1512-0565 EXPIRATION DATE: 01/31/2005
RESPS:1,000 HOURS:83 COSTS(000):$0
Personnel Security Request
FORMS: FORM-8620.5
OMB NO: 1512-0566 EXPIRATION DATE: 10/31/2004
RESPS:2,500 HOURS:250 COSTS(000):$0
Investigator Integrity Questionnaire
FORMS: ATF-F-8620.7
OMB NO: 1512-0567 EXPIRATION DATE: 04/30/2005
RESPS:5,500 HOURS:2,750 COSTS(000):$0
Computer Security Incident Report
FORMS: ATF-F-7500.1
OMB NO: 1512-0568 EXPIRATION DATE: 04/30/2005
RESPS:1,900 HOURS:317 COSTS(000):$646
Search For Artifacts and Memorabilia
FORMS: NONE
OMB NO: 1512-0570 EXPIRATION DATE: 06/30/2002
RESPS:12,100 HOURS:1,210 COSTS(000):$0
Implementation of Public Law 105-277, Omnibus Consolidated and
Emergency Appropriations Act, 1999, Related to Firearms
Disabilities for Nonimmigrant Aliens
FORMS: NONE
OMB NO: 1512-0571 EXPIRATION DATE: 09/30/2002
RESPS:3,000 HOURS:150 COSTS(000):$0
Certificate of Compliance With 18 U.S.C. 922(g)(5)(B)
FORMS: ATF-F-5330.20
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
186 29,837,073 7,749,508 $127,723
United States Customs Service
OMB NO: 1515-0001 EXPIRATION DATE: 04/30/2003
RESPS:10,340,000 HOURS:1,410,000 COSTS(000):$0
Transportation Manifest (Cargo Declaration)
FORMS: FORMS-1302 1302A 7509 7533 7533C
OMB NO: 1515-0002 EXPIRATION DATE: 05/31/2003
RESPS:1,500,000 HOURS:49,950 COSTS(000):$0
General Declaration (Outward/Inward)
FORMS: FORM-7507
OMB NO: 1515-0005 EXPIRATION DATE: 09/30/2004
RESPS:560,000 HOURS:56,000 COSTS(000):$0
Transportation Entry and Manifest of Goods Subject to Customs
Inspection and Permit
FORMS: CF-7512
OMB NO: 1515-0009 EXPIRATION DATE: 09/30/2004
RESPS:15,000 HOURS:2,000 COSTS(000):$0
Application for Exportation of Articles under Special Bond
FORMS: FORM-3495
OMB NO: 1515-0013 EXPIRATION DATE: 11/30/2003
RESPS:399,000 HOURS:39,900 COSTS(000):$0
Application-Permit-Special License Unlading/Lading, Overtime
Services
FORMS: FORM-3171
OMB NO: 1515-0021 EXPIRATION DATE: 06/30/2003
RESPS:137,400 HOURS:13,740 COSTS(000):$0
Application and Approval to Manipulate, Examine, Sample, or
Transfer Goods
FORMS: FORM-3499
OMB NO: 1515-0022 EXPIRATION DATE: 12/31/2003
RESPS:12,000 HOURS:1,600 COSTS(000):$0
Application for Allowance in Duties
FORMS: FORM-4315
OMB NO: 1515-0026 EXPIRATION DATE: 08/31/2002
RESPS:21,000 HOURS:5,250 COSTS(000):$0
Application for Identification Card
FORMS: 3078
OMB NO: 1515-0032 EXPIRATION DATE: 03/31/2003
RESPS:500 HOURS:42 COSTS(000):$0
Application for Withdrawal of Bonded Stores for Fishing Vessels
and Certification of Use
FORMS: CUSTOMSFORM5125
OMB NO: 1515-0041 EXPIRATION DATE: 10/31/2002
RESPS:60,000,000 HOURS:3,960,000 COSTS(000):$0
U.S. Customs Declaration
FORMS: 6059-B
OMB NO: 1515-0042 EXPIRATION DATE: 08/31/2003
RESPS:200,000 HOURS:10,000 COSTS(000):$0
Certificate of Registration
FORMS: 4455 4457
OMB NO: 1515-0043 EXPIRATION DATE: 08/31/2003
RESPS:420,000 HOURS:51,000 COSTS(000):$0
Declaration for Free Entry of Returned American Products
FORMS: FORMS-3311
OMB NO: 1515-0046 EXPIRATION DATE: 05/31/2003
RESPS:102,000 HOURS:8,497 COSTS(000):$0
Lien Notice
FORMS: FORM-3485
OMB NO: 1515-0050 EXPIRATION DATE: 03/31/2003
RESPS:5,700 HOURS:570 COSTS(000):$0
Declaration of Owner of Merchandise Obtained (Other Than) in
Pursuance of a Purchase or Agreement to Purchase and Declaration
of Importer of Record When Entry Is Made by an Agent
FORMS: 3347 3347-A
OMB NO: 1515-0051 EXPIRATION DATE: 08/31/2002
RESPS:99,000 HOURS:8,247 COSTS(000):$0
Entry and Manifest of Merchandise Free of Duty, Carrier's
Certificate and Release
FORMS: 7523
OMB NO: 1515-0052 EXPIRATION DATE: 08/31/2002
RESPS:28,000 HOURS:6,500 COSTS(000):$0
Petition for Remission or Mitigation of Forefeitures and
Penalties Incurred
FORMS: NONE
OMB NO: 1515-0053 EXPIRATION DATE: 10/31/2003
RESPS:150,000 HOURS:25,000 COSTS(000):$0
Declaration for Free Entry of Unaccompanied Articles
FORMS: FORM-3299
OMB NO: 1515-0054 EXPIRATION DATE: 06/30/2003
RESPS:16,800 HOURS:348 COSTS(000):$0
Application for Extension of Bond for Temporary Importation
FORMS: FORM-3499
OMB NO: 1515-0055 EXPIRATION DATE: 08/31/2002
RESPS:310 HOURS:113 COSTS(000):$0
Certificate of Origin
FORMS: 3229
OMB NO: 1515-0056 EXPIRATION DATE: 07/31/2003
RESPS:45,330 HOURS:67,995 COSTS(000):$0
Protest
FORMS: FORM-19
OMB NO: 1515-0059 EXPIRATION DATE: 07/31/2002
RESPS:104,000 HOURS:26,000 COSTS(000):$0
Ship's Stores Declaration
FORMS: 1303
OMB NO: 1515-0060 EXPIRATION DATE: 08/31/2002
RESPS:264,000 HOURS:21,991 COSTS(000):$0
Masters Oath on Entry of Vessel in Foreign Trade
FORMS: FORM-1300
OMB NO: 1515-0061 EXPIRATION DATE: 10/31/2002
RESPS:206,100 HOURS:17,168 COSTS(000):$0
Crew Effects Declaration
FORMS: 1304
OMB NO: 1515-0063 EXPIRATION DATE: 08/31/2003
RESPS:5,968,351 HOURS:298,418 COSTS(000):$0
Crew Members Declaration
FORMS: 5129
OMB NO: 1515-0065 EXPIRATION DATE: 09/30/2002
RESPS:20,010,000 HOURS:6,665,000 COSTS(000):$0
Entry Summary and Continuation Sheet
FORMS: FORM-7501 7501A
OMB NO: 1515-0068 EXPIRATION DATE: 06/30/2002
RESPS:60,000 HOURS:30,000 COSTS(000):$0
Request for Information
FORMS: FORM-28
OMB NO: 1515-0069 EXPIRATION DATE: 10/31/2002
RESPS:6,380,000 HOURS:949,500 COSTS(000):$0
Immediate Delivery Application
FORMS: 3461 3461-ALTERNATE
OMB NO: 1515-0071 EXPIRATION DATE: 08/31/2002
RESPS:2,800 HOURS:233 COSTS(000):$0
Report of Diversion
FORMS: FORM-26
OMB NO: 1515-0076 EXPIRATION DATE: 08/31/2002
RESPS:1,800 HOURS:1,800 COSTS(000):$0
Customshouse Broker's License/Permit
FORMS: 3124
OMB NO: 1515-0082 EXPIRATION DATE: 07/31/2002
RESPS:2,000 HOURS:1,500 COSTS(000):$0
Record of Vessel Foreign Repair or Equipment
FORMS: 226
OMB NO: 1515-0085 EXPIRATION DATE: 01/31/2005
RESPS:1,000 HOURS:50,000 COSTS(000):$0
Cost Submission
FORMS: 247
OMB NO: 1515-0086 EXPIRATION DATE: 11/30/2003
RESPS:325,000 HOURS:79,500 COSTS(000):$0
Application for Foreign Trade Zone Admission and Status
Designation
FORMS: FORMS-214 214A 214B 214C 216
OMB NO: 1515-0087 EXPIRATION DATE: 07/31/2002
RESPS:15,000 HOURS:1,250 COSTS(000):$0
Declaration of Unaccompanied Articles
FORMS: 225
OMB NO: 1515-0088 EXPIRATION DATE: 08/31/2003
RESPS:259,350 HOURS:302,402 COSTS(000):$0
Foreign Assemblers Declaration (with Endorsement by Importer)
FORMS: NONE
OMB NO: 1515-0091 EXPIRATION DATE: 05/31/2003
RESPS:12,000 HOURS:13,000 COSTS(000):$0
Importers of Merchandise Subject to Actual Use Provisions
FORMS: NONE
OMB NO: 1515-0093 EXPIRATION DATE: 05/31/2003
RESPS:1,800 HOURS:36,000 COSTS(000):$0
Bonded Warehouse Proprietor's Submission
FORMS: FORM-300
OMB NO: 1515-0100 EXPIRATION DATE: 06/30/2002
RESPS:1,500 HOURS:1,500 COSTS(000):$0
Customs Regulations Pertaining to Customhouse Brokers
FORMS: NONE
OMB NO: 1515-0101 EXPIRATION DATE: 11/30/2003
RESPS:20 HOURS:90 COSTS(000):$0
Holders or Containers Which Enter the United States Duty Free
FORMS: NONE
OMB NO: 1515-0104 EXPIRATION DATE: 01/31/2005
RESPS:165 HOURS:27 COSTS(000):$0
Declaration of Ultimate Consignee That Articles Were Exported
for Temporary Scientific or Educational Purposes
FORMS: NONE
OMB NO: 1515-0106 EXPIRATION DATE: 06/30/2002
RESPS:1,600 HOURS:530 COSTS(000):$0
Entry of Articles for Exportation
FORMS: NONE
OMB NO: 1515-0108 EXPIRATION DATE: 03/31/2003
RESPS:1,500 HOURS:250 COSTS(000):$0
Declaration of a Person Abroad Who Receives and Is Returning
Merchandise to the U.S.
FORMS: N/A
OMB NO: 1515-0109 EXPIRATION DATE: 05/31/2003
RESPS:10,500 HOURS:3,500 COSTS(000):$0
Proof of Use rates of Duty Dependent on Actual Use
FORMS: NONE
OMB NO: 1515-0110 EXPIRATION DATE: 01/31/2005
RESPS:7,500 HOURS:1,880 COSTS(000):$0
Declaration by the Person Who Performed the Processing of Goods
Abroad
FORMS: NONE
OMB NO: 1515-0117 EXPIRATION DATE: 07/31/2002
RESPS:177 HOURS:354 COSTS(000):$0
Establishment of a Container Station
FORMS: NONE
OMB NO: 1515-0120 EXPIRATION DATE: 03/31/2005
RESPS:46,500,000 HOURS:130,200 COSTS(000):$0
Commercial Invoice
FORMS: NONE
OMB NO: 1515-0121 EXPIRATION DATE: 07/31/2002
RESPS:45 HOURS:135 COSTS(000):$0
Establishment of a Bonded Warehouse
FORMS: NONE
OMB NO: 1515-0124 EXPIRATION DATE: 10/31/2002
RESPS:578 HOURS:289 COSTS(000):$0
Disclosure of Information on Vessel Manifest
FORMS: N/A
OMB NO: 1515-0127 EXPIRATION DATE: 07/31/2002
RESPS:1 HOURS:8 COSTS(000):$0
Application for Bonding of Smelting and Refining Warehouse
FORMS: NONE
OMB NO: 1515-0130 EXPIRATION DATE: 07/31/2003
RESPS:1 HOURS:1 COSTS(000):$0
Free Admittance Under Conditions of Emergency
FORMS: NONE
OMB NO: 1515-0133 EXPIRATION DATE: 07/31/2002
RESPS:6,000 HOURS:3,000 COSTS(000):$0
Application to Receive Free Materials in a Bonded Warehouse
FORMS: NONE
OMB NO: 1515-0134 EXPIRATION DATE: 07/31/2002
RESPS:165 HOURS:193 COSTS(000):$0
Bonded Warehouses: Alterations, Suspensions, Relocations and
Discontinuances
FORMS: NONE
OMB NO: 1515-0135 EXPIRATION DATE: 05/31/2003
RESPS:15 HOURS:156 COSTS(000):$0
Required Records for Smelting and Refining Warehouses
FORMS: NONE
OMB NO: 1515-0137 EXPIRATION DATE: 05/31/2003
RESPS:20,472 HOURS:10,236 COSTS(000):$0
Declaration of Persons Who Perform Repairs or Alterations
FORMS: NONE
OMB NO: 1515-0138 EXPIRATION DATE: 08/31/2002
RESPS:31,200 HOURS:400 COSTS(000):$0
Permit to Transfer Containers to a Container Station
FORMS: NONE
OMB NO: 1515-0140 EXPIRATION DATE: 03/31/2003
RESPS:1,145,257 HOURS:133,582 COSTS(000):$0
Textile and Textile Products
FORMS: NONE
OMB NO: 1515-0142 EXPIRATION DATE: 03/31/2003
RESPS:18,720 HOURS:2,495 COSTS(000):$0
Transfer of Cargo to a Container Station
FORMS: NONE
OMB NO: 1515-0144 EXPIRATION DATE: 01/31/2005
RESPS:590,250 HOURS:147,596 COSTS(000):$0
Importation Bond Structure
FORMS: 301 5297
OMB NO: 1515-0145 EXPIRATION DATE: 07/31/2002
RESPS:3,000 HOURS:10,600 COSTS(000):$0
Cargo Container and Road Vehicle Certification for Transport
FORMS: NONE
OMB NO: 1515-0151 EXPIRATION DATE: 10/31/2002
RESPS:260 HOURS:195 COSTS(000):$0
Foreign Trade Zone Annual Reconciliation Certification and
FORMS: N/A
OMB NO: 1515-0154 EXPIRATION DATE: 05/31/2005
RESPS:120,100 HOURS:16,100 COSTS(000):$0
User Fees
FORMS: 339
OMB NO: 1515-0155 EXPIRATION DATE: 07/31/2004
RESPS:1 HOURS:250 COSTS(000):$0
Approval of Commercial Gaugers & Accreditation of Commercial
Laboratories
FORMS: NONE
OMB NO: 1515-0157 EXPIRATION DATE: 06/30/2003
RESPS:600,000 HOURS:100,000 COSTS(000):$0
Exportation of Self-Propelled Vehicles
FORMS: NONE
OMB NO: 1515-0158 EXPIRATION DATE: 07/31/2003
RESPS:2,500,000 HOURS:1,250,000 COSTS(000):$0
Harbor Maintenance Fee
FORMS: 349 350
OMB NO: 1515-0161 EXPIRATION DATE: 09/30/2004
RESPS:300 HOURS:25 COSTS(000):$0
Importation of Ethyl Alcohol for Non-Beverage Purposes
FORMS: NONE
OMB NO: 1515-0163 EXPIRATION DATE: 05/31/2003
RESPS:10,000 HOURS:41 COSTS(000):$0
Country of Origin Marking Requirements for Containers or Holders
FORMS: NONE
OMB NO: 1515-0173 EXPIRATION DATE: 02/28/2003
RESPS:300 HOURS:75 COSTS(000):$0
Blanket Certification of Chemical Substances
FORMS: NONE
OMB NO: 1515-0175 EXPIRATION DATE: 10/31/2002
RESPS:150,000 HOURS:2,490 COSTS(000):$0
Documents Required Aboard Private Aircraft
FORMS: N/A
OMB NO: 1515-0178 EXPIRATION DATE: 10/31/2002
RESPS:12,300 HOURS:3,100 COSTS(000):$0
Automotive Products Act of 1965
FORMS: N/A
OMB NO: 1515-0181 EXPIRATION DATE: 08/31/2002
RESPS:25,700 HOURS:6,425 COSTS(000):$0
Line Release Regulations
FORMS: NONE
OMB NO: 1515-0183 EXPIRATION DATE: 10/31/2003
RESPS:50 HOURS:100 COSTS(000):$0
Centralized Examination Station
FORMS: NONE
OMB NO: 1515-0186 EXPIRATION DATE: 08/31/2002
RESPS:31,200 HOURS:1,030 COSTS(000):$0
Air Waybill
FORMS: NONE
OMB NO: 1515-0189 EXPIRATION DATE: 06/30/2003
RESPS:936 HOURS:13,176 COSTS(000):$0
Petroleum Refineries in Foreign Trade Subzones
FORMS: NONE
OMB NO: 1515-0191 EXPIRATION DATE: 07/31/2003
RESPS:1,000 HOURS:100 COSTS(000):$0
Importer Input Record
FORMS: FORMS-5106
OMB NO: 1515-0192 EXPIRATION DATE: 01/31/2005
RESPS:34,500 HOURS:7,505 COSTS(000):$0
U.S./Israel Free Trade Agreement
FORMS: NONE
OMB NO: 1515-0193 EXPIRATION DATE: 07/31/2002
RESPS:250 HOURS:154 COSTS(000):$0
Report of Loss, Detention, or Accident by Bonded Carrier,
Examination Station Operator
FORMS: NONE
OMB NO: 1515-0194 EXPIRATION DATE: 07/31/2002
RESPS:2,250 HOURS:450 COSTS(000):$0
Documentation Requirements for Articles Entered under Various
FORMS: NONE
OMB NO: 1515-0200 EXPIRATION DATE: 08/31/2003
RESPS:310 HOURS:31 COSTS(000):$0
Importers Declaration/Shippers Declaration
FORMS: NONE
OMB NO: 1515-0204 EXPIRATION DATE: 04/30/2003
RESPS:23,500 HOURS:25,760 COSTS(000):$0
North American Free Trade Agreement (NAFTA) Certificate of Origin
FORMS: FORM-434
OMB NO: 1515-0206 EXPIRATION DATE: 08/31/2004
RESPS:6,500 HOURS:2,750 COSTS(000):$0
Voluntary Customer Information Surveys in Support of Executive
Order 12862
FORMS: NONE
OMB NO: 1515-0207 EXPIRATION DATE: 01/31/2005
RESPS:2,000 HOURS:667 COSTS(000):$0
Articles Assembled Abroad with Textile Components Cut to Shape
in the U.S.
FORMS: NONE
OMB NO: 1515-0208 EXPIRATION DATE: 06/30/2002
RESPS:2,000 HOURS:400 COSTS(000):$0
NAFTA Duty Deferral
FORMS: NONE
OMB NO: 1515-0209 EXPIRATION DATE: 06/30/2002
RESPS:240 HOURS:240 COSTS(000):$0
Certificate of Compliance for Turbine Fuel Withdrawals
FORMS: NONE
OMB NO: 1515-0210 EXPIRATION DATE: 07/31/2002
RESPS:250 HOURS:500 COSTS(000):$0
Notice of Detention
FORMS: NONE
OMB NO: 1515-0212 EXPIRATION DATE: 10/31/2002
RESPS:3,500 HOURS:3,500 COSTS(000):$0
Prior Disclosure Regulations
FORMS: N/A
OMB NO: 1515-0213 EXPIRATION DATE: 05/31/2004
RESPS:163,000 HOURS:90,000 COSTS(000):$0
Drawback Process Regulations and Entry Collection Documents.
FORMS: 7551 7552 7553
OMB NO: 1515-0214 EXPIRATION DATE: 05/31/2003
RESPS:9,114 HOURS:7,977,600 COSTS(000):$9,500
Customs Modernization Act Recordkeeping Requirements
FORMS: NONE
OMB NO: 1515-0217 EXPIRATION DATE: 04/30/2004
RESPS:5,250 HOURS:5,250 COSTS(000):$0
Land Border Carrier Initiative Program
FORMS: NONE
OMB NO: 1515-0218 EXPIRATION DATE: 08/31/2002
RESPS:3,000 HOURS:249 COSTS(000):$0
Automated Clearinghouse Credit
FORMS: NONE
OMB NO: 1515-0219 EXPIRATION DATE: 05/31/2004
RESPS:150,000 HOURS:5,000 COSTS(000):$0
Andean Trade Preferences
FORMS: NONE
OMB NO: 1515-0220 EXPIRATION DATE: 06/30/2002
RESPS:30,000 HOURS:7,500 COSTS(000):$0
Lay Order Period, General Order Merchandise
FORMS: NONE
OMB NO: 1515-0222 EXPIRATION DATE: 03/31/2003
RESPS:100 HOURS:50 COSTS(000):$0
Bond Procedures for Articles Subject to Exclusion Orders Issued
by the U.S. International Trade Commission
FORMS: NONE
OMB NO: 1515-0223 EXPIRATION DATE: 07/31/2003
RESPS:28 HOURS:28 COSTS(000):$0
Deferral of Duty on Large Yachts Imported for Sale
FORMS: NONE
OMB NO: 1515-0224 EXPIRATION DATE: 09/30/2003
RESPS:20,000 HOURS:6,600 COSTS(000):$0
Delivery Ticket
FORMS: FORM-6043
OMB NO: 1515-0225 EXPIRATION DATE: 08/31/2004
RESPS:31,150 HOURS:10,400 COSTS(000):$0
African Growth and Opportunity Act Certificate of Origin
FORMS: NONE
OMB NO: 1515-0226 EXPIRATION DATE: 08/31/2004
RESPS:57,400 HOURS:18,720 COSTS(000):$0
United States-Caribbean Basin Trade Partnership Act
FORMS: FORM-450
OMB NO: 1515-0227 EXPIRATION DATE: 10/31/2003
RESPS:60 HOURS:8,600 COSTS(000):$0
Refund of Duties Paid on Imports of Certain Wool Products
FORMS: N/A
OMB NO: 1515-0228 EXPIRATION DATE: 12/31/2003
RESPS:12,200 HOURS:128,000 COSTS(000):$0
Administrative Rulings
FORMS: NONE
OMB NO: 1515-0229 EXPIRATION DATE: 07/31/2004
RESPS:1 HOURS:1 COSTS(000):$0
Distribution of Continued Dumping and Subsidy Offset to Affected
Domestic Producers
FORMS: NONE
OMB NO: 1515-0230 EXPIRATION DATE: 01/31/2005
RESPS:5,500 HOURS:218 COSTS(000):$0
Application for Exemption from Special Landing Requirements
Overflight/GATE
FORMS: FORM-442
OMB NO: 1515-0232 EXPIRATION DATE: 06/30/2002
RESPS:850,000 HOURS:2,380 COSTS(000):$0
Passenger and Crew Manifest for Passenger Flights
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
100 160,868,157 24,353,196 $9,500
Bureau of Engraving and Printing
OMB NO: 1520-0001 EXPIRATION DATE: 07/31/2002
RESPS:300 HOURS:180 COSTS(000):$0
Owner's Affidavit of Partial Destruction of Mutilated Currency
FORMS: BEP5283
OMB NO: 1520-0002 EXPIRATION DATE: 12/31/2002
RESPS:180 HOURS:165 COSTS(000):$0
Claim for Amounts Due in the Case of Deceased Owner of Mutilated
Currency
FORMS: BEP-5287
OMB NO: 1520-0003 EXPIRATION DATE: 05/31/2003
RESPS:300 HOURS:15 COSTS(000):$0
Mutilated Currency Redemption Customer Service Survey
FORMS: BEP-5284
OMB NO: 1520-0004 EXPIRATION DATE: 05/31/2003
RESPS:100 HOURS:8 COSTS(000):$0
Survey Card
FORMS: BEP-1882-1
OMB NO: 1520-0005 EXPIRATION DATE: 05/31/2003
RESPS:400 HOURS:4 COSTS(000):$0
Public Tour Survey Card
FORMS: BEP-1882-2
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
5 1,280 372 $0
Bureau of the Mint
OMB NO: 1525-0012 EXPIRATION DATE: 05/31/2005
RESPS:3,380 HOURS:1,553 COSTS(000):$0
Generic Clearance for voluntary surveys to implement E.O. 12862.
Coordinated by Business Alignment for Marketing & Sales and
Circulating
FORMS: NONE
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
1 3,380 1,553 $0
Bureau of the Public Debt
OMB NO: 1535-0001 EXPIRATION DATE: 06/30/2002
RESPS:14,000 HOURS:9,600 COSTS(000):$0
Payroll Savings Report
FORMS: SB-60 SB-60A
OMB NO: 1535-0004 EXPIRATION DATE: 10/31/2003
RESPS:56,000 HOURS:14,000 COSTS(000):$0
Special Form of Request for Payment of United States Savings and
Retirement Securities Where Use of a Detached Request is
Authorized
FORMS: PD-F-1522
OMB NO: 1535-0005 EXPIRATION DATE: 10/31/2003
RESPS:60,000 HOURS:39,960 COSTS(000):$0
Exchange Application for United States Savings Bonds of Series HH
FORMS: PD-F-3253
OMB NO: 1535-0006 EXPIRATION DATE: 10/31/2003
RESPS:7,000 HOURS:938 COSTS(000):$0
Certificate of Entitlement United States Savings and Retirement
Securities and Checks After Administration of Decedent's Estate
FORMS: PD-F-2458
OMB NO: 1535-0008 EXPIRATION DATE: 10/31/2003
RESPS:37,000 HOURS:6,179 COSTS(000):$0
Request for Reissue of United States Savings Bond/Notes During
the Lives of Both Coowners
FORMS: PD-F-1938
OMB NO: 1535-0009 EXPIRATION DATE: 01/31/2004
RESPS:55,000 HOURS:13,750 COSTS(000):$0
Request for Reissue of United States Savings Bonds/Notes in the
Name of Trustee of Personal Trust Estate
FORMS: PD-F-1851
OMB NO: 1535-0012 EXPIRATION DATE: 07/31/2003
RESPS:72,000 HOURS:36,000 COSTS(000):$0
Request by Fiduciary for Reissue of United States Savings
Bonds/Notes
FORMS: PD-F-1455
OMB NO: 1535-0013 EXPIRATION DATE: 04/30/2003
RESPS:80,000 HOURS:26,400 COSTS(000):$0
Application For Relief on Account of Loss, Theft or Destruction
of U.S. Savings and Retirement Securities. Statement Concerning
U.S. Securities.
FORMS: PD-F-1048 PD-F-2243
OMB NO: 1535-0014 EXPIRATION DATE: 10/31/2003
RESPS:500 HOURS:460 COSTS(000):$0
Application for Relief on Account of Loss, Theft, or Destruction
of United States Registered Securities
FORMS: PD-F-1025
OMB NO: 1535-0015 EXPIRATION DATE: 10/31/2003
RESPS:100 HOURS:92 COSTS(000):$0
Report/Application for Relief on Account of Loss, Theft or
Destruction of United States Securities (Organizations)
FORMS: PD-F-1022
OMB NO: 1535-0016 EXPIRATION DATE: 10/31/2003
RESPS:100 HOURS:92 COSTS(000):$0
Report Application for Relief on Account of Loss, Theft, or
Destruction of United States Bearer Securities (Individuals)
FORMS: PD-F-1022-1
OMB NO: 1535-0023 EXPIRATION DATE: 04/30/2004
RESPS:600,000 HOURS:300,000 COSTS(000):$0
Request To Reissue United States Savings Bonds
FORMS: PD-F-4000
OMB NO: 1535-0025 EXPIRATION DATE: 07/31/2003
RESPS:50,000 HOURS:8,350 COSTS(000):$0
Request for Reissue of United States Savings Bonds/Notes in the
Name of a Person or Persons Other Than the Owner (Including
Legal Guardian, Custodian for a Minor Under a Statute, Etc.)
FORMS: PD-F-3360
OMB NO: 1535-0032 EXPIRATION DATE: 07/31/2003
RESPS:50 HOURS:17 COSTS(000):$0
Application for Disposition of Retirement Plan and/or Individual
Retirement Bonds Without Administration of Deceased Owner's
Estate
FORMS: PD-F-3565
OMB NO: 1535-0035 EXPIRATION DATE: 04/30/2003
RESPS:3,965 HOURS:991 COSTS(000):$0
Application For Payment of United States Savings Bonds/Notes or
Related Checks in an Amount NOT Exceeding $1,000 by the Survivor
of a Deceased Owner Whose Estate is NOT Being Administered.
FORMS: PD-F-4881
OMB NO: 1535-0036 EXPIRATION DATE: 04/30/2003
RESPS:7,650 HOURS:2,600 COSTS(000):$0
Application by Voluntary Guardian of Incompetent Owner of United
States Savings Bonds/Notes
FORMS: PD-F-2513
OMB NO: 1535-0042 EXPIRATION DATE: 04/30/2004
RESPS:5,000 HOURS:835 COSTS(000):$0
Application By Preferred Creditor For Disposition Without
Administration Where Deceased Owner's Estate Includes United
States Registered Securities and/or Related Checks in an Amount
FORMS: PD-F-2216
OMB NO: 1535-0048 EXPIRATION DATE: 11/30/2003
RESPS:177 HOURS:89 COSTS(000):$0
Certificate of Identity of Owner of Registered Securities and
Certificate of Identity of Owner of Savings and Retirement
Securities
FORMS: PD-F-0385 PD-F-0385-1
OMB NO: 1535-0055 EXPIRATION DATE: 07/31/2003
RESPS:3,000 HOURS:300 COSTS(000):$0
Creditor's Consent to Disposition of United States Securities
and Related Checks Without Administration of Deceased Owner's
Estate
FORMS: PD-F-1050
OMB NO: 1535-0058 EXPIRATION DATE: 11/30/2003
RESPS:625 HOURS:313 COSTS(000):$0
Application for Disposition United States Registered Securities
and Related Checks Without Administration of Deceased Owner's
Estate
FORMS: PD-F-1646
OMB NO: 1535-0059 EXPIRATION DATE: 06/30/2002
RESPS:10,000 HOURS:2,500 COSTS(000):$0
Special Form of Assignment for U.S.-Registered Definitive
Securities
FORMS: PD-F-1832
OMB NO: 1535-0060 EXPIRATION DATE: 06/30/2003
RESPS:6,300 HOURS:1,575 COSTS(000):$0
Certificate by Legal Representative(s) of Decedent's Estate
During Administration of Authority to Act and of Distribution
Where Estate Holds no More than $1,000 (face amount) U.S. Saving
FORMS: PD-F-2488-1
OMB NO: 1535-0062 EXPIRATION DATE: 04/30/2004
RESPS:5,000 HOURS:665 COSTS(000):$0
Special Bond of Indemnity to the United States of America
FORMS: PD-F-2966
OMB NO: 1535-0063 EXPIRATION DATE: 11/30/2003
RESPS:500 HOURS:84 COSTS(000):$0
Request by Owner or Person Entitled to Payment or Reissue of
United States Savings Bonds/Notes Deposited in Safekeeping When
Original Custody Receipts are not available.
FORMS: PD-F-4239
OMB NO: 1535-0064 EXPIRATION DATE: 04/30/2003
RESPS:19,000 HOURS:1,900 COSTS(000):$0
Description of United States Savings Bonds Series HH/H and
Description of United States Bonds/Notes
FORMS: PD-F-1980 PD-F-2490
OMB NO: 1535-0067 EXPIRATION DATE: 10/31/2003
RESPS:3,000 HOURS:750 COSTS(000):$0
Certificate by Owner of United States Registered Securities
Concerning Forged Requests for Payment or Assignments
FORMS: PD-F-0974
OMB NO: 1535-0068 EXPIRATION DATE: 01/31/2004
RESPS:75,000 HOURS:8,775 COSTS(000):$0
Regulations Governing Book-Entry Treasury Bonds, Notes and Bills
FORMS: NONE
OMB NO: 1535-0069 EXPIRATION DATE: 08/31/2004
RESPS:431,632 HOURS:58,628 COSTS(000):$0
Treasury Direct Forms
FORMS: PD-F-5178/5179 5179-1/5180 5181/5182/5188 5189/5191/5201
5235/5236/5261 5365/5381
OMB NO: 1535-0070 EXPIRATION DATE: 06/30/2002
RESPS:500 HOURS:125 COSTS(000):$0
Stop Payment/Replacement Check Request
FORMS: PD-F-5192
OMB NO: 1535-0082 EXPIRATION DATE: 09/30/2004
RESPS:100 HOURS:13 COSTS(000):$0
Subscription for Purchase of U.S. Treasury Securities State and
FORMS: PD-F-5237
OMB NO: 1535-0083 EXPIRATION DATE: 09/30/2004
RESPS:100 HOURS:5 COSTS(000):$0
Request for Redemption of U.S. Treasury Securities-State and
FORMS: PD-F-5238
OMB NO: 1535-0084 EXPIRATION DATE: 07/31/2003
RESPS:10,000,000 HOURS:830,000 COSTS(000):$0
Order for Series EE U.S. Savings Bonds; Order for Series EE U.S.
Savings to be Registered in Name of Fiduciary; Series I Order
for U.S. Savings Bonds; and Series I Order for U.S. Savings
Bonds to
FORMS: PD-F-5263 PD-F-5263-1 PD-F-5374 PD-F-5374-1
OMB NO: 1535-0087 EXPIRATION DATE: 01/31/2004
RESPS:66,000,000 HOURS:77,467 COSTS(000):$0
Payment by Banks and Other Financial Institutions of United
States Savings Bonds and Notes (Freedom Shares)
FORMS: NONE
OMB NO: 1535-0089 EXPIRATION DATE: 01/31/2004
RESPS:19,967 HOURS:369,620 COSTS(000):$0
Implementing Regulations: Government Securities Act of 1986, as
amended
FORMS: NONE
OMB NO: 1535-0091 EXPIRATION DATE: 04/30/2004
RESPS:1,000 HOURS:167 COSTS(000):$0
Regulations Governing U.S. Treasury Certificates of
Indebtedness- State and Local Government Series
FORMS: NONE
OMB NO: 1535-0092 EXPIRATION DATE: 04/30/2004
RESPS:5,000 HOURS:2,500 COSTS(000):$0
Subscription For Purchase and Issue of U.S. Treasury
Securities-- State and Local Government Series
FORMS: PD-F-4144 4144-1 4144-2 4144-5 4144-6 4144-7 4144-8
OMB NO: 1535-0094 EXPIRATION DATE: 06/30/2004
RESPS:1 HOURS:1 COSTS(000):$0
Regulations Governing Payments by the Automated Clearing House
Method on Account of United States Securities
FORMS: NONE
OMB NO: 1535-0095 EXPIRATION DATE: 06/30/2004
RESPS:1 HOURS:1 COSTS(000):$0
Regulations Governing United States Savings Bonds Series E/EE
and H/HH
FORMS: NONE
OMB NO: 1535-0096 EXPIRATION DATE: 04/30/2004
RESPS:20,000 HOURS:5,000 COSTS(000):$0
Reinvestment Application
FORMS: PD-F-1993
OMB NO: 1535-0097 EXPIRATION DATE: 09/30/2004
RESPS:5,500 HOURS:1,333 COSTS(000):$0
Bond of Indemnity and Detached Coupon Statement
FORMS: 4087 4087-1 4087-3 5380
OMB NO: 1535-0098 EXPIRATION DATE: 10/31/2003
RESPS:30,000 HOURS:5,010 COSTS(000):$0
Claim for Relief on Account of the Nonreceipt of United States
Savings Bonds
FORMS: PD-F-3062-4
OMB NO: 1535-0100 EXPIRATION DATE: 11/30/2003
RESPS:500 HOURS:460 COSTS(000):$0
Affidavit by Individual Surety
FORMS: PD-F-4094
OMB NO: 1535-0101 EXPIRATION DATE: 10/31/2003
RESPS:5,000 HOURS:1,250 COSTS(000):$0
Description of Registered Securities
FORMS: PD-F-0345
OMB NO: 1535-0102 EXPIRATION DATE: 07/31/2003
RESPS:1,000 HOURS:250 COSTS(000):$0
Certificate of Ownership of United States Bearer Securities
FORMS: PD-F-1071
OMB NO: 1535-0104 EXPIRATION DATE: 01/31/2004
RESPS:400 HOURS:200 COSTS(000):$0
Application by Survivors for Payment of Bond or Check Issued
Under the Armed Forces Leave Act of 1946, as Amended
FORMS: PD-F-2066
OMB NO: 1535-0105 EXPIRATION DATE: 01/31/2004
RESPS:25 HOURS:5 COSTS(000):$0
Application for Recognition as Natural Guardian of Minor Not
Under Legal Guardianship and for disposition of Minor's Interest
in Registered Securities.
FORMS: PD-F-2481
OMB NO: 1535-0108 EXPIRATION DATE: 01/31/2004
RESPS:400 HOURS:32 COSTS(000):$0
Certificate to Support Application for Relief on Account of
Lost, Stolen or Destroyed United States Securities
FORMS: PD-F-2471
OMB NO: 1535-0111 EXPIRATION DATE: 04/30/2004
RESPS:1,600,000 HOURS:33,333 COSTS(000):$0
Authorization For Purchase and Request for Change United States
Savings Bonds
FORMS: SB-2104 2152 2153 2205 2253 2272 2305
OMB NO: 1535-0112 EXPIRATION DATE: 09/30/2004
RESPS:1,500 HOURS:375 COSTS(000):$0
Treasury Securities Commercial Tender Form
FORMS: PD-F-5395
OMB NO: 1535-0113 EXPIRATION DATE: 06/30/2002
RESPS:7,000 HOURS:700 COSTS(000):$0
Disclaimer and Consent with Respect to United States Savings
Bonds/Notes
FORMS: PD-F-1849
OMB NO: 1535-0114 EXPIRATION DATE: 06/30/2002
RESPS:200 HOURS:20 COSTS(000):$0
Release
FORMS: PD-F-2001
OMB NO: 1535-0117 EXPIRATION DATE: 09/30/2004
RESPS:500 HOURS:85 COSTS(000):$0
Resolution by Governing Body of an Organization Authorizing
Assignment and Disposition of Specified Securities Owned in its
Own Right or in a Fiduciary Capacity.
FORMS: PD-F-1010
OMB NO: 1535-0118 EXPIRATION DATE: 06/30/2003
RESPS:80,000 HOURS:40,000 COSTS(000):$0
Application for Dispostion, United States Savings Bonds/Notes
and/or Related Checks Owned by Decedent Whose Estate is Being
Settled Without Administration
FORMS: PD-F-5336
OMB NO: 1535-0120 EXPIRATION DATE: 11/30/2003
RESPS:600 HOURS:102 COSTS(000):$0
FHA New Account Request, FHA Transaction Request, FHA Debenture
Transfer Request
FORMS: PD-F-5366 PD-F-5354 PD-F-5367
OMB NO: 1535-0121 EXPIRATION DATE: 06/30/2004
RESPS:3,350 HOURS:1,675 COSTS(000):$0
U.S. Treasury Securities State and Local Government Series
Change Request and U.S. Treasury Securities State and Local
Government Series Early Redemption Request
FORMS: PD-F-5376 PD-F-5377
OMB NO: 1535-0122 EXPIRATION DATE: 08/31/2004
RESPS:7,000 HOURS:876 COSTS(000):$0
Voluntary Customer Satisfaction Survey to Implement Executive
Order 12862
FORMS: BPD-02-02
OMB NO: 1535-0126 EXPIRATION DATE: 07/31/2003
RESPS:80 HOURS:20 COSTS(000):$0
Application for Issue of United States Mortgage Guaranty
Insurance Company Tax and Loss Bonds
FORMS: PD-F-3871
OMB NO: 1535-0127 EXPIRATION DATE: 04/30/2004
RESPS:80 HOURS:20 COSTS(000):$0
Offering of United States Mortgage Guaranty Insurance Company
Tax and Loss Bonds
FORMS: CFR-PART-343
OMB NO: 1535-0128 EXPIRATION DATE: 09/30/2004
RESPS:20,000 HOURS:3,400 COSTS(000):$0
Direct Deposit Sign Up Form
FORMS: PD-F-5396
OMB NO: 1535-0129 EXPIRATION DATE: 06/30/2004
RESPS:15,000 HOURS:2,550 COSTS(000):$0
U.S. Savings Bonds Easy Saver Plan Enrollment Form
FORMS: PD-F-5391
OMB NO: 1535-0130 EXPIRATION DATE: 06/30/2004
RESPS:3,000 HOURS:1,500 COSTS(000):$0
Request for reissue of Series 1 United States Savings Bonds
FORMS: PD-F-5387
OMB NO: 1535-0131 EXPIRATION DATE: 06/30/2004
RESPS:1,000 HOURS:750 COSTS(000):$0
Application for Disposition of Series 1 Savings Bonds After the
Death of the Registered Owner(s)
FORMS: PD-F-5394
OMB NO: 1535-0132 EXPIRATION DATE: 06/30/2004
RESPS:1,000 HOURS:330 COSTS(000):$0
Request for Reissue of Series 1 Savings Bonds by the
Representative of the Estate of an Incompetent or Minor
FORMS: PD-F-5386
OMB NO: 1535-0133 EXPIRATION DATE: 06/30/2004
RESPS:1,000 HOURS:330 COSTS(000):$0
Certificate of Appointment and Request for Payment
FORMS: PD-F-5385
OMB NO: 1535-0136 EXPIRATION DATE: 02/28/2003
RESPS:5,000 HOURS:500 COSTS(000):$0
Application for Refund of Purchase Price of United States
Savings Bonds for Organizations
FORMS: PD-F-5410
OMB NO: 1535-0137 EXPIRATION DATE: 03/31/2005
RESPS:1,000 HOURS:80 COSTS(000):$0
U.S. Treasury Auctions Submitter Agreement
FORMS: PD-F-5441
SUBAGENCY TOTALS
ACTIVE ANNUAL ANNUAL ANNUAL
REPORTS RESPONSES HOURS COSTS($000)
66 79,439,403 1,915,928 $0
Internal Revenue Service
OMB NO: 1545-0001 EXPIRATION DATE: 08/31/2002
RESPS:2,387 HOURS:52,586 COSTS(000):$0
Employer's Annual Railroad Retirement Tax Return
FORMS: CT-1
OMB NO: 1545-0002 EXPIRATION DATE: 01/31/2004
RESPS:112 HOURS:127 COSTS(000):$0
Employee Representative's Quarterly Railroad Tax Return
FORMS: FORM-CT-2
OMB NO: 1545-0003 EXPIRATION DATE: 09/30/2002
RESPS:2,419,064 HOURS:3,919,265 COSTS(000):$0
Application for Employer Identification Number -- SS-4
FORMS: SS-4 SS-4PR
OMB NO: 1545-0004 EXPIRATION DATE: 05/31/2004
RESPS:6,900 HOURS:165,462 COSTS(000):$0
Determination of Worker Status for Purposes of Federal
Employment Taxes and Income Tax Withholding
FORMS: FORM-SS-8
OMB NO: 1545-0007 EXPIRATION DATE: 03/31/2004
RESPS:37,000 HOURS:1,446,330 COSTS(000):$0
Forest Activities Schedule
FORMS: FORM-T
OMB NO: 1545-0008 EXPIRATION DATE: 05/31/2004
RESPS:253,007,121 HOURS:1 COSTS(000):$0
Wage and Tax Statements W-2/W-3 series
FORMS: W-2 W-2C W-2AS W-2GU W-2VI W-3 W-3C W-3CPR W-3PR W-3SS
OMB NO: 1545-0010 EXPIRATION DATE: 09/30/2004
RESPS:54,209,079 HOURS:116,007,430 COSTS(000):$0
Employee's Withholding Allowance Certificate
FORMS: W-4
OMB NO: 1545-0013 EXPIRATION DATE: 03/31/2003
RESPS:173,944 HOURS:292,800 COSTS(000):$0
Notice Concerning Fiduciary Relationship
FORMS: FORM-56
OMB NO: 1545-0014 EXPIRATION DATE: 07/31/2002
RESPS:2,000 HOURS:27,780 COSTS(000):$0
Application for Registration (For Certain Excise Tax Activities)
FORMS: FORM-637
OMB NO: 1545-0015 EXPIRATION DATE: 08/31/2004
RESPS:117,000 HOURS:2,079,835 COSTS(000):$0
United States Estate (and Generation-Skipping Transfer) Tax
Return
FORMS: FORM-706
OMB NO: 1545-0016 EXPIRATION DATE: 02/29/2004
RESPS:180 HOURS:1,474 COSTS(000):$0
United States Additional Estate Tax Return
FORMS: 706-A
OMB NO: 1545-0020 EXPIRATION DATE: 10/31/2004
RESPS:130,000 HOURS:620,100 COSTS(000):$0
United States Gift (and Generation-Skipping Transfer) Tax Return
FORMS: FORM-709
OMB NO: 1545-0021 EXPIRATION DATE: 11/30/2004
RESPS:45,000 HOURS:44,100 COSTS(000):$0
United States Short Form Gift Tax Return
FORMS: FORM-709-A
OMB NO: 1545-0022 EXPIRATION DATE: 07/31/2003
RESPS:60,000 HOURS:1,120,800 COSTS(000):$0
Life Insurance Statement
FORMS: 712
OMB NO: 1545-0023 EXPIRATION DATE: 10/31/2004
RESPS:375,541 HOURS:3,885,597 COSTS(000):$0
Quarterly Federal Excise Tax Return
FORMS: FORM-720
OMB NO: 1545-0024 EXPIRATION DATE: 09/30/2002
RESPS:545,500 HOURS:845,525 COSTS(000):$0
Claim for Refund and Request for Abatement
FORMS: 843
OMB NO: 1545-0025 EXPIRATION DATE: 07/31/2003
RESPS:4,000 HOURS:56,400 COSTS(000):$0
Affiliations Schedule
FORMS: 851
OMB NO: 1545-0026 EXPIRATION DATE: 08/31/2004
RESPS:1,000 HOURS:14,640 COSTS(000):$0
Return by a U.S. Transferor of Property to a Foreign Corporation
FORMS: 926
OMB NO: 1545-0028 EXPIRATION DATE: 12/31/2003
RESPS:1,513,520 HOURS:20,972,931 COSTS(000):$0
Employer's Annual Federal Unemployment (FUTA) Tax Return (Form
FORMS: 940 940-PR
OMB NO: 1545-0029 EXPIRATION DATE: 01/31/2004
RESPS:53,770,392 HOURS:338,032,959 COSTS(000):$0
Forms 941, 941-PR and 941-SS, Employer's Quarterly Federal Tax
FORMS: FORM-941 941-PR 941-SS SCH.B-FORM-941 SCH.B-FORM-941- PR
OMB NO: 1545-0035 EXPIRATION DATE: 08/31/2004
RESPS:558,368 HOURS:5,011,539 COSTS(000):$0
Employer's Annual Tax Return for Agricultural Employees
FORMS: 943 943-PR 943-A 943A-PR
OMB NO: 1545-0041 EXPIRATION DATE: 06/30/2004
RESPS:26,000 HOURS:153,920 COSTS(000):$0
Corporate Dissolution or Liquidation
FORMS: FORMM-966
OMB NO: 1545-0042 EXPIRATION DATE: 06/30/2004
RESPS:3,000 HOURS:41,730 COSTS(000):$0
Application To Use LIFO Inventory Method
FORMS: FORM-970
OMB NO: 1545-0043 EXPIRATION DATE: 01/31/2004
RESPS:400 HOURS:368 COSTS(000):$0
Consent of Shareholder To Include Specific Amount in Gross Income
FORMS: 972
OMB NO: 1545-0044 EXPIRATION DATE: 04/30/2004
RESPS:500 HOURS:2,575 COSTS(000):$0
Corporation Claim for Deduction for Consent Dividends
FORMS: FORM-973
OMB NO: 1545-0045 EXPIRATION DATE: 04/30/2004
RESPS:500 HOURS:3,830 COSTS(000):$0
Claim for Deficiency Dividends Deductions by a Personal Holding
Company, Regulated Investment Company, or Real Estate Investment
Trust
FORMS: FORM-976
OMB NO: 1545-0046 EXPIRATION DATE: 08/31/2003
RESPS:1,000 HOURS:10,290 COSTS(000):$0
Reduction of Tax Attributes Due to Discharge of Indebtedness
(and Section 1082 Basis Adjustment)
FORMS: FORM-982
OMB NO: 1545-0047 EXPIRATION DATE: 05/31/2004
RESPS:434,569 HOURS:48,124,975 COSTS(000):$0
Return of Organization Exempt From Income Tax Under Section 501
or private foundation) or sections 527 and 4947(a)(1) non-exempt
FORMS: 990 SCH-A SCH-B
OMB NO: 1545-0049 EXPIRATION DATE: 09/30/2002
RESPS:27 HOURS:573 COSTS(000):$0
Information and Initial Excise Tax Return for Black Lung Benefit
Trusts and Certain Related Persons -- Form 990-BL and Return of
Excise Tax on Excess Contributions to Black Lung -- Form 6069
FORMS: FORM990-BL SCHD-A FORM-6069
OMB NO: 1545-0051 EXPIRATION DATE: 11/30/2004
RESPS:5,600 HOURS:829,640 COSTS(000):$0
Farmer's Cooperative Association Income Tax Return
FORMS: 990-C
OMB NO: 1545-0052 EXPIRATION DATE: 12/31/2003
RESPS:54,000 HOURS:11,046,573 COSTS(000):$0
Form 990-PF, Return of Private Foundation or Section 4947(a)(1)
Form 4720, Return of Certain Excise Taxes on Charities and Other
FORMS: 990-PF 4720
OMB NO: 1545-0054 EXPIRATION DATE: 11/30/2003
RESPS:1,500 HOURS:5,040 COSTS(000):$0
Ownership Certificate
FORMS: 1000
OMB NO: 1545-0056 EXPIRATION DATE: 06/30/2004
RESPS:36,025 HOURS:2,069,267 COSTS(000):$0
Form 1023, Application for Recognition of Exemption Under
Section 501(c)(3) of the Internal Revenue Code, and Form 872-C,
Consent Fixing Period of Limitation Upon Assessment of Tax Under
Section
FORMS: FORM-1023 FORM-872-C
OMB NO: 1545-0057 EXPIRATION DATE: 05/31/2004
RESPS:9,692 HOURS:291,542 COSTS(000):$0
Application for Recognition of Exemption Under Section 501(a)
FORMS: FORM-1024
OMB NO: 1545-0058 EXPIRATION DATE: 08/31/2002
RESPS:50 HOURS:2,545 COSTS(000):$0
Application for Recognition of Exemption under Section 521 of
the Internal Revenue Code
FORMS: FORM-1028
OMB NO: 1545-0059 EXPIRATION DATE: 08/31/2003
RESPS:76,000 HOURS:101,080 COSTS(000):$0
Social Security and Medicare Tax on Unreported Tip Income
FORMS: FORM-4137
OMB NO: 1545-0062 EXPIRATION DATE: 08/31/2003
RESPS:678,678 HOURS:807,627 COSTS(000):$0
Moving Expenses
FORMS: FORM-3903
OMB NO: 1545-0064 EXPIRATION DATE: 05/31/2003
RESPS:3,754 HOURS:4,017 COSTS(000):$0
Application for Exemption from Social Security and Medicare
Taxes and Waiver of Benefits
FORMS: 4029
OMB NO: 1545-0065 EXPIRATION DATE: 06/30/2002
RESPS:13,680,000 HOURS:36,322,800 COSTS(000):$0
Employee's Report of Tips to Employer -- Form 4070, Employee's
Daily Record of Tips -- Form 4070A, Informe al Patrono de
Propinas Recibidas por el Empleado -- Forma 4070PR
FORMS: 4070 5070A 4070PR 4070A-PR
OMB NO: 1545-0066 EXPIRATION DATE: 10/31/2002
RESPS:1,453,000 HOURS:1,104,280 COSTS(000):$0
Application for Additional Extension of Time To File U.S.
Individual Income Tax Return
FORMS: FORM-2688
OMB NO: 1545-0067 EXPIRATION DATE: 08/31/2004
RESPS:286,955 HOURS:1,403,210 COSTS(000):$0
Foreign Earned Income
FORMS: FORM-2555
OMB NO: 1545-0068 EXPIRATION DATE: 09/30/2004
RESPS:6,519,859 HOURS:15,517,265 COSTS(000):$0
Child and Dependent Care Expenses
FORMS: 2441
OMB NO: 1545-0070 EXPIRATION DATE: 09/30/2004
RESPS:22,594 HOURS:22,594 COSTS(000):$0
Application for Extension of Time to File U.S. Income Tax Return
FORMS: FORM-2350
OMB NO: 1545-0071 EXPIRATION DATE: 12/31/2002
RESPS:11,000 HOURS:5,830 COSTS(000):$0
Multiple Support Declaration
FORMS: 2120
OMB NO: 1545-0073 EXPIRATION DATE: 04/30/2004
RESPS:7,500 HOURS:5,250 COSTS(000):$0
Statement of Person Claiming Refund Due a Deceased Taxpayer
FORMS: FORM-1310
OMB NO: 1545-0074 EXPIRATION DATE: 10/31/2004
RESPS:402,915,352 HOURS:1,455,489,837 COSTS(000):$0
US Individual Income Tax Return
FORMS: 1040 SCHA SCHB SCHC SCHC-EZ SCHD SCHD-1 SCHE EIC SCHF
OMB NO: 1545-0085 EXPIRATION DATE: 10/31/2004
RESPS:103,702,745 HOURS:304,041,703 COSTS(000):$0
US Individual Income Tax Return
FORMS: 1040A SCH1 SCH2 SCH3 EIC
OMB NO: 1545-0086 EXPIRATION DATE: 11/30/2004
RESPS:2,500 HOURS:11,592 COSTS(000):$0
U.S. Departing Alien Income Tax Return
FORMS: 1040-C
OMB NO: 1545-0087 EXPIRATION DATE: 10/31/2003
RESPS:40,991,991 HOURS:94,591,282 COSTS(000):$0
1040-ES, Estimated Tax for Individuals; 1040-ES (NR), U.S.
(Espanol), Contribuciones Federales Estimadas Del Trabajo Por
FORMS: 1040-ES 1040-ES(NR) 1040-ES-ESPANOL
OMB NO: 1545-0089 EXPIRATION DATE: 10/31/2003
RESPS:357,210 HOURS:4,152,935 COSTS(000):$0
U.S. Nonresident Alien Income Tax Return
FORMS: 1040-NR
OMB NO: 1545-0090 EXPIRATION DATE: 06/30/2002
RESPS:430,400 HOURS:3,238,252 COSTS(000):$0
Form 1040-SS, U.S. Self-Employment Tax Return; Form 1040-PR,
Planilla Para La Declaracion De La Contribucion Federal Sobre El
Trabajo Por Centa Propia-Puerto Rico; and Anejo H-PR,
FORMS: 1040-SS 104-PR ANEJO-H-PR
OMB NO: 1545-0091 EXPIRATION DATE: 10/31/2002
RESPS:2,929,311 HOURS:10,369,761 COSTS(000):$0
Amended U.S. Individual Income Tax Return
FORMS: 1040X
OMB NO: 1545-0092 EXPIRATION DATE: 05/31/2004
RESPS:9,589,119 HOURS:398,137,946 COSTS(000):$0
U.S. Income Tax Return for Estates and Trusts
FORMS: FORM-1041 SCH-D SCH-J SCH-K-1
OMB NO: 1545-0094 EXPIRATION DATE: 07/31/2002
RESPS:18,000 HOURS:675,900 COSTS(000):$0
U.S. Information Return, Trust Accumulation of Charitable Amounts
FORMS: FORM-1041-A
OMB NO: 1545-0096 EXPIRATION DATE: 06/30/2002
RESPS:1,641,500 HOURS:1,030,980 COSTS(000):$0
Form 1042, Annual Withholding Tax Return for U.S. Source Income
of Foreign Persons; Form 1042-S, Foreign Person's U.S. Source
Income Subject to Withholding, Form 1042-T, Annual Summary and
FORMS: 1042 1042-S 1042-T
OMB NO: 1545-0098 EXPIRATION DATE: 10/31/2003
RESPS:65,220 HOURS:830,903 COSTS(000):$0
Application for Tentative Refund
FORMS: FORM-1045
OMB NO: 1545-0099 EXPIRATION DATE: 09/30/2004
RESPS:27,486,072 HOURS:1,211,925,094 COSTS(000):$0
U.S. Return of Partnership Income (Form 1065); Capital Gains and
Losses (Schedule D); and Partner's Share of Income, Credits,
Deductions, etc. (Schedule K-1)
FORMS: FORM-1065 SCHEDULE-D SCHEDULE-K-1
OMB NO: 1545-0108 EXPIRATION DATE: 12/31/2002
RESPS:4,420,919 HOURS:1,016,812 COSTS(000):$0
Annual Summary and Transmittal of U.S. Information Returns
FORMS: 1096
OMB NO: 1545-0110 EXPIRATION DATE: 08/31/2002
RESPS:123,083,975 HOURS:34,463,513 COSTS(000):$0
Dividends and Distributions
FORMS: FORM-1099-DIV
OMB NO: 1545-0112 EXPIRATION DATE: 08/31/2004
RESPS:275,797,664 HOURS:54,979,533 COSTS(000):$0
Interest Income
FORMS: FORM-1099-INT
OMB NO: 1545-0115 EXPIRATION DATE: 11/30/2003
RESPS:77,317,951 HOURS:21,649,027 COSTS(000):$0
Miscellaneous Income
FORMS: FORM-1099-MISC
OMB NO: 1545-0117 EXPIRATION DATE: 04/30/2004
RESPS:5,906,965 HOURS:1,142,323 COSTS(000):$0
Original Issue Discount
FORMS: 1099-OID
OMB NO: 1545-0118 EXPIRATION DATE: 11/30/2003
RESPS:1,961,131 HOURS:509,895 COSTS(000):$0
Taxable Distributions Received From Cooperatives
FORMS: FORM-1099-PATR
OMB NO: 1545-0119 EXPIRATION DATE: 09/30/2002
RESPS:62,348,484 HOURS:18,704,546 COSTS(000):$0
Distributions from Pensions, Annuities, Retirement or
FORMS: 1099-R
OMB NO: 1545-0120 EXPIRATION DATE: 10/31/2002
RESPS:55,746,627 HOURS:10,591,860 COSTS(000):$0
Certain Government and Qualified State Tuition Program Payments
FORMS: 1099-G
OMB NO: 1545-0121 EXPIRATION DATE: 09/30/2004
RESPS:779,773 HOURS:2,862,104 COSTS(000):$0
Foreign Tax Credit (Individual, Estate, Trust, or Nonresident
Alien Individual)
FORMS: 1116
OMB NO: 1545-0122 EXPIRATION DATE: 08/31/2004
RESPS:30,950 HOURS:4,113,889 COSTS(000):$0
Foreign Tax Credit-Corporations
FORMS: FORM-1118 SCHEDULE-I SCHEDULE-J
OMB NO: 1545-0123 EXPIRATION DATE: 10/31/2003
RESPS:2,865,248 HOURS:494,705,717 COSTS(000):$0
Form 1120, U.S. Corporation Income Tax Return, Schedule D,
FORMS: FORM-1120 SCH.-D(1120) SCH.-H SCH.-N SCH.-PH
OMB NO: 1545-0126 EXPIRATION DATE: 10/31/2002
RESPS:21,618 HOURS:4,888,695 COSTS(000):$0
U.S. Income Tax Return of a Foreign Corporation
FORMS: 1120-F
OMB NO: 1545-0127 EXPIRATION DATE: 10/31/2002
RESPS:112,311 HOURS:3,638,877 COSTS(000):$0
U.S. Income Tax Return for Homeowners Associations
FORMS: 1120-H
OMB NO: 1545-0128 EXPIRATION DATE: 11/30/2004
RESPS:2,440 HOURS:401,966 COSTS(000):$0
U.S. Life Insurance Company Income Tax Return
FORMS: 1120-L
OMB NO: 1545-0129 EXPIRATION DATE: 10/31/2003
RESPS:6,527 HOURS:236,539 COSTS(000):$0
U.S. Income Tax Return for Certain Political Organizations
FORMS: 1120-POL
OMB NO: 1545-0130 EXPIRATION DATE: 10/31/2003
RESPS:7,353,000 HOURS:488,720,870 COSTS(000):$0
Form 1120S, U.S. Income Tax Return for an S Corporation,
Schedule Schedule K-1 (Form 1120S), Shareholder's Share of
Income, Credits
FORMS: FORM-1120S SCHED.-D SCHED.-K-1
OMB NO: 1545-0132 EXPIRATION DATE: 05/31/2003
RESPS:16,699 HOURS:305,425 COSTS(000):$0
Amended U.S. Corporation Income Tax Return
FORMS: FORM-1120X
OMB NO: 1545-0134 EXPIRATION DATE: 06/30/2004
RESPS:14,800 HOURS:361,720 COSTS(000):$0
Application To Adopt, Change, or Retain a Tax Year
FORMS: FORM-1128
OMB NO: 1545-0135 EXPIRATION DATE: 01/31/2004
RESPS:2,033 HOURS:9,800 COSTS(000):$0
Extension of Time for Payment of Taxes by a Corporation
Expecting a Net Operating Loss Carryback.
FORMS: FORM-1138
OMB NO: 1545-0137 EXPIRATION DATE: 06/30/2004
RESPS:160 HOURS:546 COSTS(000):$0
Contract Coverage Under Title II of the Social Security Act
FORMS: FORM-2032
OMB NO: 1545-0138 EXPIRATION DATE: 01/31/2004
RESPS:20,540 HOURS:17,048 COSTS(000):$0
U.S. Departing Alien Income Tax Statement
FORMS: FORM-2063
OMB NO: 1545-0139 EXPIRATION DATE: 08/31/2003
RESPS:938,662 HOURS:3,254,495 COSTS(000):$0
Employee Business Expenses
FORMS: 2106
OMB NO: 1545-0140 EXPIRATION DATE: 11/30/2003
RESPS:900,000 HOURS:2,509,000 COSTS(000):$0
Form 2210, Underpayment of Estimated Tax by Individuals,
Estates, Farmers and Fishermen.
FORMS: 2210/2210-F
OMB NO: 1545-0142 EXPIRATION DATE: 11/30/2003
RESPS:702,000 HOURS:21,413,873 COSTS(000):$0
Underpayment of Estimated Tax by Corporations
FORMS: FORM-2220
OMB NO: 1545-0143 EXPIRATION DATE: 03/31/2003
RESPS:630,000 HOURS:17,443,600 COSTS(000):$0
Heavy Highway Vehicle Use Tax Return
FORMS: 2290
OMB NO: 1545-0144 EXPIRATION DATE: 09/30/2003
RESPS:100 HOURS:859 COSTS(000):$0
Undistributed Capital Gains Tax Return
FORMS: 2438
OMB NO: 1545-0145 EXPIRATION DATE: 04/30/2004
RESPS:8,363 HOURS:34,539 COSTS(000):$0
Notice to Shareholder of Undistributed Long-Term Capital Gains
FORMS: FORM-2439
OMB NO: 1545-0146 EXPIRATION DATE: 05/31/2005
RESPS:500,000 HOURS:7,745,000 COSTS(000):$0
Election by a Small Business Corporation
FORMS: 2553
OMB NO: 1545-0148 EXPIRATION DATE: 04/30/2004
RESPS:300,000 HOURS:375,923 COSTS(000):$0
Application for Extension of Time To File Certain Excise,
Income, Information, and Other Returns
FORMS: 2758
OMB NO: 1545-0150 EXPIRATION DATE: 11/30/2004
RESPS:800,000 HOURS:1,504,000 COSTS(000):$0
Power of Attorney and Declaration of Representative
FORMS: FORM-2848
OMB NO: 1545-0152 EXPIRATION DATE: 06/30/2002
RESPS:6,400 HOURS:272,062 COSTS(000):$0
Application for Change in Accounting Method
FORMS: NONE
OMB NO: 1545-0153 EXPIRATION DATE: 10/31/2002
RESPS:6,000 HOURS:15,620 COSTS(000):$0
Information Statement by United Kingdom Withholding Agents
Paying Dividends from U.S. Corporations to Residents of the
United States and Certain Treaty Countries
FORMS: 3206
OMB NO: 1545-0155 EXPIRATION DATE: 11/30/2003
RESPS:22,575 HOURS:461,392 COSTS(000):$0
Investment Credit
FORMS: FORM-3468
OMB NO: 1545-0159 EXPIRATION DATE: 03/31/2004
RESPS:2,000 HOURS:107,880 COSTS(000):$0
Annual Return to Report Transaction With Foreign Trusts and
Receipt of Certain Foreign Gifts
FORMS: 3520
OMB NO: 1545-0160 EXPIRATION DATE: 08/31/2003
RESPS:500 HOURS:21,700 COSTS(000):$0
Annual Information Return of Foreign Trust With a U.S. Owner
FORMS: FORM-3520-A
OMB NO: 1545-0162 EXPIRATION DATE: 08/31/2003
RESPS:1,281,702 HOURS:2,852,976 COSTS(000):$0
Credit for Federal Tax Paid on Fuels
FORMS: FORM-4136
OMB NO: 1545-0166 EXPIRATION DATE: 06/30/2003
RESPS:200,000 HOURS:196,400 COSTS(000):$0
Recapture of Investment Credit
FORMS: FORM-4255
OMB NO: 1545-0168 EXPIRATION DATE: 12/31/2002
RESPS:10,270 HOURS:10,167 COSTS(000):$0
Application for Exemption from Self-Employment Tax for Use by
Ministers, Members of Religious Orders, and Christian Science
Practitioners
FORMS: 4361
OMB NO: 1545-0169 EXPIRATION DATE: 07/31/2003
RESPS:5,250 HOURS:109,388 COSTS(000):$0
Form 4461, Application for Approval of Master or Prototype
Defined Contribution Plan; Form 4461-A, Application for Approval
of Master or Prototype Defined Benefit Plan; Form 4461-B
FORMS: 4461 4461-A 4461-B
OMB NO: 1545-0170 EXPIRATION DATE: 06/30/2004
RESPS:16,125 HOURS:76,433 COSTS(000):$0
Corporation Application for Quick Refund of Overpayment of
Estimated Tax
FORMS: FORM-4466
OMB NO: 1545-0172 EXPIRATION DATE: 09/30/2004
RESPS:6,750,000 HOURS:315,202,500 COSTS(000):$0
Depreciation and Amortization (Including Information on Listed
Property)
FORMS: FORM-4562
OMB NO: 1545-0173 EXPIRATION DATE: 08/31/2002
RESPS:100 HOURS:174 COSTS(000):$0
Exclusion of Income for Bona Fide Residents of American Samoa
FORMS: 4563
OMB NO: 1545-0175 EXPIRATION DATE: 10/31/2003
RESPS:60,000 HOURS:2,606,400 COSTS(000):$0
Alternative Minimum Tax - Corporations
FORMS: 4626
OMB NO: 1545-0177 EXPIRATION DATE: 09/30/2002
RESPS:300,000 HOURS:1,221,000 COSTS(000):$0
Casualties and Thefts
FORMS: 4684
OMB NO: 1545-0181 EXPIRATION DATE: 06/30/2004
RESPS:18,500 HOURS:28,490 COSTS(000):$0
Application for Extension of Time to File a Return and/or Pay
FORMS: FORM-4768
OMB NO: 1545-0184 EXPIRATION DATE: 10/31/2002
RESPS:1,396,388 HOURS:69,009,495 COSTS(000):$0
Sales of Business Property
FORMS: 4797
OMB NO: 1545-0187 EXPIRATION DATE: 09/30/2004
RESPS:407,719 HOURS:1,793,964 COSTS(000):$0
Farm Rental Income and Expenses
FORMS: 4835
OMB NO: 1545-0188 EXPIRATION DATE: 09/30/2004
RESPS:5,572,999 HOURS:6,353,219 COSTS(000):$0
Application for Automatic Extension of Time to File U.S.
Individual Income Tax Return
FORMS: 4868
OMB NO: 1545-0190 EXPIRATION DATE: 07/31/2003
RESPS:1,000 HOURS:5,760 COSTS(000):$0
Election To Be Treated as an Interest Charge DISC
FORMS: 4876-A
OMB NO: 1545-0191 EXPIRATION DATE: 08/31/2004
RESPS:800,000 HOURS:808,000 COSTS(000):$0
Investment Interest Expense Deduction
FORMS: FORM-4952
OMB NO: 1545-0192 EXPIRATION DATE: 08/31/2003
RESPS:30,000 HOURS:96,600 COSTS(000):$0
Tax on Accumulation Distribution of Trusts
FORMS: FORM-4970
OMB NO: 1545-0193 EXPIRATION DATE: 08/31/2003
RESPS:35,000 HOURS:95,550 COSTS(000):$0
Tax on Lump-Sum Distributions (From Qualified Retirement Plans
of Plan Participants Born Before 1936)
FORMS: FORM-4972
OMB NO: 1545-0195 EXPIRATION DATE: 07/31/2003
RESPS:10,730 HOURS:8,262 COSTS(000):$0
Election To Postpone Determination as To Whether the Presumption
Applies That an Activity Is Engaged in for Profit
FORMS: FORM-5213
OMB NO: 1545-0196 EXPIRATION DATE: 12/31/2003
RESPS:93,640 HOURS:7,480,960 COSTS(000):$0
Split-Interest Trust Information Return
FORMS: FORM-5227
OMB NO: 1545-0197 EXPIRATION DATE: 02/28/2005
RESPS:185,000 HOURS:7,955,750 COSTS(000):$0
Form 5300, Application for Determination for Employee Benefit
Plan, Schedule Q (Form 5300), Elective Determination Requests
FORMS: 5300 SCH.-Q
OMB NO: 1545-0199 EXPIRATION DATE: 08/31/2004
RESPS:5,000 HOURS:93,400 COSTS(000):$0
Application for Approval of Prototype Simplified Employee
Pension or Savings Incentive Match Plan for Employees of Small
Employers
FORMS: 5306-A
OMB NO: 1545-0200 EXPIRATION DATE: 02/28/2005
RESPS:100,000 HOURS:4,566,000 COSTS(000):$0
Application for Determination for Adopters of Master or
Prototype or Volume Submitter Plans
FORMS: FORM-5307
OMB NO: 1545-0201 EXPIRATION DATE: 06/30/2004
RESPS:480 HOURS:325 COSTS(000):$0
Request for Change in Plan/Trust Year
FORMS: FORM-5308
OMB NO: 1545-0202 EXPIRATION DATE: 05/31/2003
RESPS:30,000 HOURS:1,138,050 COSTS(000):$0
Form 5310, Application for Determination Upon Termination; Form
6088, Distributable Benefits from Employees Pension Benefit Plans
FORMS: 5310 6088
OMB NO: 1545-0203 EXPIRATION DATE: 10/31/2004
RESPS:1,035,000 HOURS:937,000 COSTS(000):$0
Additional Taxes Attributable to IRAs, Other Qualified Retire-
ment Plans, Annuities, Modified Endowment Contracts and MSAs.
FORMS: 5329
OMB NO: 1545-0205 EXPIRATION DATE: 07/31/2003
RESPS:1,700 HOURS:54,145 COSTS(000):$0
Corporate Report of Nondividend Distributions
FORMS: 5452
OMB NO: 1545-0212 EXPIRATION DATE: 12/31/2003
RESPS:335,000 HOURS:185,724 COSTS(000):$0
Application for Extension of Time to File Certain Employee Plan
Returns
FORMS: FORM-5558
OMB NO: 1545-0213 EXPIRATION DATE: 06/30/2004
RESPS:1,000 HOURS:5,150 COSTS(000):$0
Annual Certification of Racial Nondiscrimination for a Private
School Exempt from Federal Income Tax
FORMS: FORM-5578
OMB NO: 1545-0215 EXPIRATION DATE: 08/31/2003
RESPS:2,600 HOURS:20,258 COSTS(000):$0
5712, Election To Be Treated as a Possessions Corporation Under
Section 936 5712-A, Election and Verification of the Cost
Sharing or Profit Split Method Under Section 936(h)(5)
FORMS: FORMS-5712 5712-A
OMB NO: 1545-0216 EXPIRATION DATE: 09/30/2002
RESPS:3,875 HOURS:104,236 COSTS(000):$0
International Boycott Report
FORMS: FORM-5713 SCHED-A/B/C
OMB NO: 1545-0217 EXPIRATION DATE: 09/30/2003
RESPS:1,371 HOURS:33,656 COSTS(000):$0
Form 5735, Possessions Corporation Tax Credit (Under Sections
936 and 30A), and Schedule P, Allocation of Income and Expenses
Under Section 936(h)(5).
FORMS: 5735 SCHD.-P
OMB NO: 1545-0219 EXPIRATION DATE: 10/31/2003
RESPS:10,630 HOURS:104,281 COSTS(000):$0
Work Opportunity Credit
FORMS: 5884
OMB NO: 1545-0227 EXPIRATION DATE: 08/31/2002
RESPS:414,106 HOURS:2,509,483 COSTS(000):$0
Alternative Minimum Tax, Individuals
FORMS: 6251
OMB NO: 1545-0228 EXPIRATION DATE: 09/30/2003
RESPS:782,848 HOURS:2,395,515 COSTS(000):$0
Installment Sale Income
FORMS: FORM-6252
OMB NO: 1545-0229 EXPIRATION DATE: 02/28/2005
RESPS:25,000 HOURS:538,250 COSTS(000):$0
Short Form Application for Determination for Minor Amendment of
FORMS: 6406
OMB NO: 1545-0231 EXPIRATION DATE: 11/30/2003
RESPS:1,594 HOURS:20,722 COSTS(000):$0
Credit for Alcohol Used as Fuel
FORMS: 6478
OMB NO: 1545-0232 EXPIRATION DATE: 06/30/2004
RESPS:250 HOURS:810 COSTS(000):$0
Information Return of Nontaxable Energy Grants or Subsidized
Energy Financing
FORMS: FORM-6497
OMB NO: 1545-0233 EXPIRATION DATE: 06/30/2003
RESPS:1,081,045 HOURS:10,605,052 COSTS(000):$0
Application for Automatic Extension of Time to File Corporation
FORMS: FORM-7004
OMB NO: 1545-0235 EXPIRATION DATE: 09/30/2002
RESPS:51,082 HOURS:391,288 COSTS(000):$0
Tax on Wagering
FORMS: 730
OMB NO: 1545-0236 EXPIRATION DATE: 01/31/2004
RESPS:11,500 HOURS:123,050 COSTS(000):$0
Occupational Tax and Registration Return for Wagering
FORMS: FORM-11-C
OMB NO: 1545-0238 EXPIRATION DATE: 10/31/2002
RESPS:4,104,771 HOURS:1,272,479 COSTS(000):$0
Certain Gambling Winnings
FORMS: W-2G
OMB NO: 1545-0239 EXPIRATION DATE: 07/31/2003
RESPS:306,000 HOURS:61,200 COSTS(000):$0
Statement by Person(s) Receiving Gambling Winnings
FORMS: FORM-5754
OMB NO: 1545-0240 EXPIRATION DATE: 01/31/2004
RESPS:10,000 HOURS:10,400 COSTS(000):$0
Claim for Refund of Income Tax Return Preparer Penalties
FORMS: FORM-6118
OMB NO: 1545-0242 EXPIRATION DATE: 06/30/2004
RESPS:605 HOURS:2,892 COSTS(000):$0
Gas Guzzler Tax
FORMS: FORM-6197
OMB NO: 1545-0245 EXPIRATION DATE: 10/31/2004
RESPS:2,894 HOURS:5,174 COSTS(000):$0
Environmental Taxes
FORMS: FORM-6627
OMB NO: 1545-0256 EXPIRATION DATE: 08/31/2002
RESPS:958,050 HOURS:8,728,727 COSTS(000):$0
Supporting Statement To Correct Information Planilla Para La
Correccion de Informacion
FORMS: FORM-941C 941CPR
OMB NO: 1545-0257 EXPIRATION DATE: 12/31/2002
RESPS:62,513,333 HOURS:1,841,607 COSTS(000):$0
Forms 8109 and 8109-B, Federal Tax Deposit Coupon; and Form
8109-C, FTD Address Change
FORMS: 8109 8109-B 8109-C
OMB NO: 1545-0260 EXPIRATION DATE: 05/31/2003
RESPS:2,250 HOURS:3,893 COSTS(000):$0
Certification of Payment of Foreign Death Tax
FORMS: FORM-706-CE
OMB NO: 1545-0274 EXPIRATION DATE: 06/30/2003
RESPS:20,000 HOURS:4,000 COSTS(000):$0
Employment - Reference Inquiry
FORMS: 2163(C)
OMB NO: 1545-0284 EXPIRATION DATE: 08/31/2002
RESPS:462 HOURS:5,078 COSTS(000):$0
Application for Determination of Employee Stock Ownership Plan
FORMS: FORM-5309
OMB NO: 1545-0295 EXPIRATION DATE: 11/30/2002
RESPS:150,000 HOURS:12,765 COSTS(000):$0
Preparation Instructions for Media Labels -- Notice 210
FORMS: NONE
OMB NO: 1545-0314 EXPIRATION DATE: 09/30/2003
RESPS:400 HOURS:133 COSTS(000):$0
Form 6466, Transmittal of Forms W-4 Reported Magnetically/
Electronically; Form 6467, Transmittal of Forms W-4 Reported
Magnetically/Electronically (Continuation)
FORMS: FORMS-6466 6467
OMB NO: 1545-0351 EXPIRATION DATE: 08/31/2002
RESPS:320,000 HOURS:16,000 COSTS(000):$0
Tax Professionals Annual Mailing List Application and Order Blank
FORMS: FORM-3975
OMB NO: 1545-0367 EXPIRATION DATE: 05/31/2004
RESPS:71,058 HOURS:20,902 COSTS(000):$0
Transmittal of Information Returns Reported Magnetically
FORMS: FORM-4804
OMB NO: 1545-0387 EXPIRATION DATE: 05/31/2003
RESPS:15,000 HOURS:6,500 COSTS(000):$0
Application for Filing Information Returns Magnetically/
Electronically
FORMS: FORM-4419
OMB NO: 1545-0390 EXPIRATION DATE: 01/31/2004
RESPS:600 HOURS:7,878 COSTS(000):$0
Application for Approval of Prototype or Employer Sponsored
Individual Retirement Account
FORMS: FORM-5306
OMB NO: 1545-0393 EXPIRATION DATE: 11/30/2003
RESPS:18,223 HOURS:1,513 COSTS(000):$0
Return Requesting Refund Unlocatable or Not Filed; Send Copy
FORMS: LETTER-109C
OMB NO: 1545-0409 EXPIRATION DATE: 08/31/2004
RESPS:11,200 HOURS:2,800 COSTS(000):$0
1) Application for Reward for Original Information;
FORMS: FORMS-211 211(SP)
OMB NO: 1545-0410 EXPIRATION DATE: 09/30/2003
RESPS:400 HOURS:33 COSTS(000):$0
How to Prepare Media Label for Form W-4
FORMS: NOTICE-1027
OMB NO: 1545-0415 EXPIRATION DATE: 09/30/2002
RESPS:12,000,000 HOURS:24,720,000 COSTS(000):$0
Withholding Certificate for Pension or Annuity Payments
FORMS: W-4P
OMB NO: 1545-0429 EXPIRATION DATE: 03/31/2004
RESPS:914,540 HOURS:941,977 COSTS(000):$0
Request for Copy or Transcript of Tax Form
FORMS: FORM-4506
OMB NO: 1545-0430 EXPIRATION DATE: 03/31/2003
RESPS:4,000 HOURS:2,000 COSTS(000):$0
Request for Prompt Assessment Under Internal Revenue Code
Section 6501(d)
FORMS: FORM-4810
OMB NO: 1545-0441 EXPIRATION DATE: 06/30/2003
RESPS:108,000 HOURS:27,000 COSTS(000):$0
Transmitter Report and Summary of Magnetic Media; Continuation
Sheet for Form 6559
FORMS: 65 | 
