Request for Disposition of Offense

ICR 200301-1140-047

OMB: 1140-0033

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
12764 Migrated
ICR Details
1140-0033 200301-1140-047
Historical Active 200102-1512-002
DOJ/ATF
Request for Disposition of Offense
Extension without change of a currently approved collection   No
Regular
Approved without change 01/24/2003
Retrieve Notice of Action (NOA) 01/24/2003
  Inventory as of this Action Requested Previously Approved
04/30/2004 04/30/2004
3,000 0 0
1,500 0 0
0 0 0

The information provided on this form determines whether an applicant is eligible to receive a Federal license or permit. If an applicant applies for a license or permit and has an arrest record charged with a violation of Federal or State law and there is no record present of the disposition of the cases(s), the form is sent to the custodian or records to ascertain the disposition of the case.

None
None


No

1
IC Title Form No. Form Name
Request for Disposition of Offense FORM-5020.29

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000 0 0 3,000 0 0
Annual Time Burden (Hours) 1,500 0 0 1,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/24/2003


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