Information Collection

Application for permit, user limited display fireworks

IC 12768 under ICR 200306-1140-002 · OMB 1140-0034.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Application for permit, user limited display fireworks

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ATF-F-5400.21				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	0	150
Annual IC Time Burden (Hours)	225	0	225
Annual IC Cost Burden (Dollars)	0	-12,000	12,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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