Federal Register / Vol. 88, No. 188 / Friday, September 29, 2023 / Notices 67451 

6. Suffix (required if the individual’s name 

has a suffix) 

7. * Date of birth 

Current address: (report both business 

address and residential address if the FinCEN 

ID will be used for both a Company 

Applicant and a Beneficial Owner) 

8. * Address type (check the box that 

applies to the type of address to be provided 

in lines 9–13) 

a. Residential address 

b. Business address 

9. * Address (number, street, and apt. or 

suite no.) 

10. * City 

11. * Country/Jurisdiction (select from list 

of countries/jurisdictions) 

12. * State (select from list when United 

States, Canada, or Mexico was selected in 

line 11; if a U.S. Territory was selected in line 

11, line 12 populates automatically with the 

selected U.S. Territory; if a foreign country 

was selected in line 11, line 12 remains 

empty) 

13. * ZIP/Foreign postal code 

Form of Identification and Issuing 

Jurisdiction: 

14. * Identifying document type (select one 

from list of lines 14a–14d) 

a. State-issued driver’s license 

b. State/local/Tribe-issued ID 

c. U.S. passport 

d. Foreign passport (can only be provided 

if individual does not possess document type 

listed in 14a, 14b, or 14c) 

15. * Identifying document number 

16. * Identifying document issuing 

jurisdiction (select country/jurisdiction in 

line 16a and complete lines 16b–16d if 

applicable) 

a. Country/Jurisdiction(select from list of 

countries/jurisdictions) 

b. State (select from list when the United 

States was selected in line 16a and the 

identifying document is issued by a State; if 

a U.S. Territory was selected in line 16a, line 

16b populates automatically with the 

selected U.S. Territory; if a foreign country 

was selected in line 16a, line 16b remains 

empty) 

c. Local/Tribal (select from list when the 

United States was selected in line 16a and 

the identifying document is issued by a local 

jurisdiction or Tribe; if local jurisdiction or 

Tribe is not included in the list, select 

‘‘Other’’ and go to line 16d; if a U.S. Territory 

or foreign country was selected in line 16a, 

line 16c remains empty) 

d. Other local/Tribal name (enter name of 

local jurisdiction or Tribe that was not 

included in the list for line 16c) 

17. * Identifying document image (attach 

image of identifying document referred to in 

lines 14–16) (upload instructions will be 

provided here) 

Certification 

18. * I certify that the information 

furnished is true, correct, and complete. I 

understand that the willful provision to 

FinCEN of false or fraudulent information in 

this application may result in civil or 

criminal penalties. 

a. I agree (check the box to certify) 

[FR Doc. 2023–21325 Filed 9–28–23; 8:45 am] 

BILLING CODE 4810–02–P 

DEPARTMENT OF THE TREASURY 

Agency Information Collection 

Activities; Submission for OMB 

Review; Comment Request; Multiple 

Tax and Trade Bureau Information 

Collection Requests 

AGENCY: Departmental Offices, 

Department of the Treasury. 

ACTION: Notice of information collection; 

request for comment. 

SUMMARY: The Department of the 

Treasury will submit the following 

information collection requests to the 

Office of Management and Budget 

(OMB) for review and clearance in 

accordance with the Paperwork 

Reduction Act of 1995, on or after the 

date of publication of this notice. The 

public is invited to submit comments on 

these requests. 

DATES: Comments should be received on 

or before October 30, 2023 to be assured 

of consideration. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

FOR FURTHER INFORMATION CONTACT: 

Copies of the submissions may be 

obtained from Spencer W. Clark by 

emailing PRA@treasury.gov, calling 

(202) 927–5331, or viewing the entire 

information collection request at 

www.reginfo.gov. 

SUPPLEMENTARY INFORMATION: 

Alcohol and Tobacco Tax and Trade 

Bureau (TTB) 

(1) Title: Tax Information 

Authorization. 

OMB Control Number: 1513–0001. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Description: In general, the Internal 

Revenue Code (IRC) at 26 U.S.C. 6103 

protects the privacy of taxpayer 

information by, among other things, 

prohibiting the disclosure of tax returns 

and taxpayer information to 

unauthorized persons. However, under 

26 U.S.C. 6103(c), a taxpayer may 

authorize a representative to receive 

otherwise confidential tax information. 

Under that IRC authority and the related 

Department of Treasury regulations, the 

Alcohol and Tobacco Tax and Trade 

Bureau (TTB) requires a taxpayer to file 

form TTB F 5000.19 to authorize a 

representative, who does not have a 

power of attorney, to receive otherwise 

confidential information regarding the 

taxpayer. TTB uses the information 

provided on this form to properly 

identify the taxpayer’s designated 

representative and the scope of that 

representative’s authority to obtain 

otherwise confidential information 

about the taxpayer. 

Form: TTB F 5000.19. 

Affected Public: Businesses or other 

for-profits, Individuals or households. 

Estimated Number of Respondents: 

10. 

Frequency of Response: On occasion. 

Estimated Total Number of Annual 

Responses: 10. 

Estimated Time per Response: 1 hour. 

Estimated Total Annual Burden 

Hours: 10. 

(2) Title: Referral of Information. 

OMB Control Number: 1513–0013. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Description: Alcohol and Tobacco Tax 

and Trade Bureau (TTB), during the 

course of their duties, sometimes 

discover apparent violations of statutes 

and regulations under the jurisdiction of 

State and local government agencies. 

Using form TTB F 5000.21, Referral of 

Information, TTB personnel submit 

information regarding such violations to 

such external agencies, if disclosure is 

authorized under 26 U.S.C. 6103 or 

other Federal laws. The referral form 

includes a section for the external 

agency to respond to TTB regarding its 

action on the referral. This form 

provides TTB with a consistent means 

of conveying relevant information to 

external agencies, and it facilitates 

information-sharing between TTB and 

external agencies to support 

enforcement efforts. The response that 

TTB requests from these State and local 

government agencies also provides 

information as to the utility of the 

referrals and potential enforcement 

actions that these external agencies take 

against the same entities that TTB 

regulates. 

Form: TTB F 5000.21. 

Affected Public: Businesses or other 

for-profits. 

Estimated Number of Respondents: 

100. 

Frequency of Response: On occasion. 

Estimated Total Number of Annual 

Responses: 100. 

Estimated Time per Response: 1 hour. 

Estimated Total Annual Burden 

Hours: 100. 


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67452 Federal Register / Vol. 88, No. 188 / Friday, September 29, 2023 / Notices 

(3) Title: Principal Place of Business 

Address and Place of Production Coding 

on Beer and Malt Beverage Labels, TTB 

REC 5130/5. 

OMB Control Number: 1513–0085. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Description: Under the authority of 

the Internal Revenue Code (IRC) at 26 

U.S.C. 5412 and the Federal Alcohol 

Administration Act (FAA Act) at 27 

U.S.C. 205(e), the TTB regulations 

require consumer containers of beer to 

be marked with the name and address 

of the brewer. Specific to this 

information collection, in the case of 

brewers that operate multiple breweries, 

the TTB regulations in 27 CFR parts 7 

and 25 allow brewers to label beer 

containers with their principal place of 

business, provided that the brewer also 

places a code on each beer container 

indicating its actual place of production. 

This option allows multi-plant brewers 

to use an identical label at all of their 

breweries. The labeling of beer 

containers with the producer’s name 

and place of production is a usual and 

customary business practice undertaken 

by brewers to identify their products to 

consumers and facilitate recall of 

adulterated products. In addition, TTB 

uses the required information to verify 

tax refund claims submitted by brewers 

for the loss or destruction of beer. 

Form: None. 

Affected Public: Businesses or other 

for-profits. 

Estimated Number of Respondents: 

2,725. 

Frequency of Response: On occasion. 

Estimated Total Number of Annual 

Responses: 2,725. 

Estimated Time per Response: None. 

The requirement is customary and usual 

business practice that imposes no 

additional burden on respondents. 

Estimated Total Annual Burden 

Hours: None. 

(4) Title: Petitions to Establish or 

Modify American Viticultural Areas. 

OMB Control Number: 1513–0127. 

Type of Review: Extension without 

change of a currently approved 

collection. 

Description: The Federal Alcohol 

Administration Act (FAA Act) at 27 

U.S.C. 205(e) authorizes the Secretary of 

the Treasury to prescribe regulations for 

the labeling of wine, distilled spirits, 

and malt beverages. The FAA Act 

provides that these regulations should, 

among other things, prohibit consumer 

deception and the use of misleading 

statements on alcohol beverage labels 

and ensure that such labels provide the 

consumer with adequate information as 

to the identity and quality of the 

product. Under that authority, TTB 

regulates the use of appellations of 

origin on wine labels, including the use 

of American viticultural area (AVA) 

names. In response to petitions 

submitted by interested parties, TTB 

establishes new AVAs or modifies 

existing AVAs through the rulemaking 

process. The TTB regulations in 27 CFR 

part 9 specify the information to be 

included in such petitions. TTB uses the 

provided information to evaluate a 

petitioner’s proposal and, if accepted for 

rulemaking, TTB drafts a notice of 

proposed rulemaking requesting public 

comment regarding the creation of a 

new AVA or the amendment of the 

name, boundary, or other terms of an 

existing AVA. 

Form: None. 

Affected Public: Businesses or other 

for-profits. 

Estimated Number of Respondents: 

15. 

Frequency of Response: On occasion. 

Estimated Total Number of Annual 

Responses: 15. 

Estimated Time per Response: 130 

hours. 

Estimated Total Annual Burden 

Hours: 1,950. 

Authority: 44 U.S.C. 3501 et seq. 

Spencer W. Clark, 

Treasury PRA Clearance Officer. 

[FR Doc. 2023–21482 Filed 9–28–23; 8:45 am] 

BILLING CODE 4810–31–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0165] 

Agency Information Collection Activity 

Under OMB Review: Financial Status 

Report 

AGENCY: Debt Management Center, 

Department of Veterans Affairs. 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act (PRA) of 

1995, this notice announces that the 

Debt Management Center, Department of 

Veterans Affairs, will submit the 

collection of information abstracted 

below to the Office of Management and 

Budget (OMB) for review and comment. 

The PRA submission describes the 

nature of the information collection and 

its expected cost and burden and it 

includes the actual data collection 

instrument. 

DATES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice by clicking on the following link 

www.reginfo.gov/public/do/PRAMain, 

select ‘‘Currently under Review—Open 

for Public Comments’’, then search the 

list for the information collection by 

Title or ‘‘OMB Control No. 2900–0165.’’ 

FOR FURTHER INFORMATION CONTACT: 

Maribel Aponte, Office of Enterprise 

and Integration, Data Governance 

Analytics (008), 810 Vermont Ave. NW, 

Washington, DC 20420, (202) 266–4688 

or email maribel.aponte@va.gov. Please 

refer to ‘‘OMB Control No. 2900–0165’’ 

in any correspondence. 

SUPPLEMENTARY INFORMATION: 

Authority: Public Law 104–13; 5 

U.S.C. 5514; 38 U.S.C. 5302; 38 U.S.C. 

5314; 31 U.S.C. 3711; 38 U.S.C. 3716; 38 

U.S.C. 3717; 38 U.S.C. 3718; 38 U.S.C. 

5316 

Title: Financial Status Report, VA 

Form 5655. 

OMB Control Number: 2900–0165. 

Type of Review: Revision of a 

currently approved collection. 

Abstract: The major use of the form is 

to document and support eligibility 

determinations for waivers of collection, 

for the consideration of compromise 

offers, or to document information to 

assist in developing repayment plans. 

An agency may not conduct or 

sponsor, and a person is not required to 

respond to a collection of information 

unless it displays a currently valid OMB 

control number. The Federal Register 

Notice with a 60-day comment period 

soliciting comments on this collection 

of information was published at 88 FR 

130 on July 10, 2023, page 43651. 

Affected Public: Individuals and 

households. 

Estimated Annual Burden: 33,335. 

Estimated Average Burden per 

Respondent: 60 minutes. 

Frequency of Response: Annual. 

Estimated Number of Respondents: 

33,335. 

By direction of the Secretary. 

Maribel Aponte, 

VA PRA Clearance Officer, Office of 

Enterprise and Integration, Data Governance 

Analytics, Department of Veterans Affairs. 

[FR Doc. 2023–21454 Filed 9–28–23; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

[OMB Control No. 2900–0098] 

Agency Information Collection 

Activity: Dependents’ Application for 

VA Education Benefits 

AGENCY: Veterans Benefits 

Administration, Department of Veterans 

Affairs. 


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