Tally Sheet for FIST purchase permit statistics

Firearms Inquiry Statistics (FIST) Program

FIST instrument

Tally Sheet for FIST Purchase Permit Statistics

OMB: 1121-0314

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OMB No. XXXX-XXXX: Approval Expires XX/XX/XXXX

Please return by July 31, 2007

Tally Sheet for FIST Purchase Permit Statistics (January - June 2007)

«ORI» «Company»



January

February

March

April

May

June

Total

Applications








Rejections










Reasons for Rejection (if known)




Felony Indicted








Felony Conviction








Felony No Disp.








Fugitive








Juvenile








Drug Related








Court Order








Mental Incompetence








Illegal Alien








State Law








Local Ordinance








Domestic Violence








Other*










Arrest and Appeal Information**




Number of Arrests








Reconsiderations Received








Reconsiderations Reversed








Appeals to Court Filed








Appeals to Court Reversed









*Other includes dishonorable discharge, renunciation of U.S. citizenship, and unspecified reasons.

**Arrest and appeal counts can be sent later, if more time is needed to collect data.

A reconsideration occurs when the denied person objects to the original decision and asks your agency to

reconsider the denial.


If these statistics cover only part of a month, please enter the last date these statistics cover:___________________

Please fill in at least the first two rows and fax or mail this form back to us as soon as possible. Even if your agency received zero (0) applications, please send this information. If your agency does not maintain monthly data, please provide the total (or cumulative) statistics for the six months.

Thank You! For any questions: 1-800-531-2150 FAX: (314) 535-1729

Completed By: ­­­­­­­­­­­­­­­­­_______________________

Telephone: __­­­­­­­­­­­­­­­­­­_____________________ MAIL: FIST – REJIS

FAX:­­­­­­­­­­­ _______________________ 4255 West Pine Blvd.

E-mail: ______________________________ St. Louis, MO 63108

Burden statement

Federal agencies may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it displays a currently valid OMB Control Number. Public reporting burden for this collection of information is estimated to average thirty minutes per response, including time for reviewing instructions, searching existing data sources, gathering an maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate, or any other aspects of this collection of information, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street NW, Washington, DC 20531.

File Typeapplication/msword
File TitlePlease return by August 1, 2005
AuthorKim Parris
Last Modified ByScarbora
File Modified2006-10-11
File Created2006-10-11

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