Form F 5013.3 F 5013.3 eForm 6 Access Request

OMB No. 1140-0087 (01/31/2007)

U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives

eForm 6 Access Request
ATF Tracking Number

Submit this form to the Firearms and Explosives Imports Branch, ATF, Washington, DC 20226
A - Action Requested
1.
Add User

Modify User Information

Reactivate User

Delete User

2. If Modifying or Deleting, Provide User ID , if
known

B - User Information: Please complete this section with all the required data to establish a user identification record.
3. First Name

4. Middle Initial

6. Suffix (i.e., Jr., Sr., III)

5. Last Name

7. Social Security Number (last 4 digits)

8. Date of Birth

9. Mother’s Maiden Name

10. Employee Title

11. Business E-mail Address

12. Business Phone Number

Check Here if User Will Be Responsible Person (See instructions for
definition.)
C - Company Information: Provide information about the company for which you work
14.

13. Business Fax Number

15. Name and Address of Company as it Appears on Your Federal Firearms License and/or Arms Export Control Act Registration

16. Federal Firearms License Number and/or Arms Export Control Act Registration Number
Requester’s Certification: I hereby attest that the entries on this form are true and correct and that the unique username and password or digital
signature that the Bureau of Alcohol, Tobacco, Firearms and Explosives assigns to me are intended as my original signature and I intend that such
submissions be treated as bearing an original signature for all intents and purposes when submitting firearm import applications electronically via the
eForm 6 System. I have read and agree to be bound by the terms set out in the eForm 6 Notices and Agreement governing the use of the eForm 6
System.
17. Requester’s Signature

18. Date

D - Approval Required: Signature of responsible person with signature authority required to grant access to eForm 6 System.
Responsible Person’s Certification: I authorize the above-named user to complete and execute, on behalf of the company named in Item 15,
firearm import applications via the eForm 6 System. I attest that the company intends to be bound by the entries on any such applications and
intends that such applications be treated as bearing an original signature for all intents and purposes. I have read and on behalf of the company
agree to be bound by the terms set out in the eForm 6 Notices and Agreement governing the use of the eForm 6 System. I hereby ratify and confirm
all that the user shall lawfully do or cause to be done by virtue of this authorization.
19. Company Approval Signature By Responsible Person

20. Print Name and Title of Responsible Person

21. Date

ATF Use Only
User Verification Completed

Date

Comments

System Owner Approval

Date

Comments

ATF Operations Completed

Date

Comments

System Administrator Completed

Date

Comments

User Notification Completed

Date

Comments

ATF Form 5013.3
Revised February 2004

Instructions
You must complete this form in order to receive a user ID and password to obtain access to ATF’s eForm 6 system. Each user must obtain an
individual user ID and password which is not to be shared with anyone. Sharing your user ID and password can result in cancellation of your eForm 6
privileges.
Section A – You must check the appropriate box:
(1) Check “Add User” if you want access to eForm 6 for the first time.
(2) Check “Modify User” if you want to change any of the information you originally supplied in Section B or C. In all cases, supply your User ID
(Section A, Item 2) and complete onluy those items in Section B and C that have changed.
For changes to Section C: (i) You must notify ATF’s National Licensing Center in Atlanta, GA of any changes to your company name, address,
or Federal firearms license numbers, or the Firearms and Explosives Imports Branch of any changes to your Arms Export Control Act registration
information, before making any changes in eForm 6; and (ii) If you are deleting a Federal firearms license or Arms Export Control Act registration
number, indicate in Section C, Item 15 which number(s) you want deleted from eForm 6.
(3) Check “Delete User” if you no longer want access to eForm 6 for yourself or another user. Please provide the User ID of the user to be deleted, if
known (Section A, Item 2).
(4) Check “Reactivate User” if we cancelled your original User ID due to inactivity and you wish to begin using the eForm 6 system again. You must
also complete the remainder of the form as instructed below and include your previous User ID.
Section B – You must enter the required information about the individual requesting access to eForm 6 in items 3-13. Also include your business
telephone and FAX numbers. Each Federal firearms licensee or Arms Export Control Act registrant must submit one eForm 6 Access Request from a
responsible persion as indicated on item 14. This person will be able to review the User Profiles of all other users registered under that Federal
firearms license or Arms Export Control Act registration number. This individual will also receive a confirmation email for each application submitted
to ATF, whether via the eForm 6 or paper submission. A Responsible Person is defined as a sole proprietor, or in the case of a corporation,
partnership or association, any individual possessing the power to direct or cause the direction of the management, policies and practices of the
corporation, partnership or association as they relate to firearms, and in the case of a corporation, partnership, or association any person holding ten
percent or more of the outstanding shares of stock issued by the applicant and the officers of that organization. These persons are listed on the ATF
Form 7, Application for Federal Firearms License and ATF Form 4587, Application to Register as an Importer of U.S. Munitions Import List Articles.
Section C – You must enter the required information about the company for which you are requesting to file applciations. This information must
appear exactly as it does on the Federal Firearms License and/or Arms Export Control Act registration. Be sure to enter the correct number in item
16 (example: 1-23-456-08-5A-98765 or A-12-345-6789). You (the individual requesting access) must sign and date the form in items 17-18. If you
are both a Federal firearms licensee and an Arms Export Control Act registrant, you must enter both numbers in item 16.
Section D – A person listed as responsible person on the ATF Form 7 or ATF Form 4587, must sign and print his or her name and title, and date the
form in items 19-21.
You must send the original of this form to:
Firearms and Explosives Imports Branch
Bureau of Alcohol, Tobacco, Fireams and Explosives
650 Massachusetts Avenue, NW.
Washington, DC 20226
Your user ID and password will be sent to you separately for security reasons.
Privacy Act Information
We provide this information to comply with Section 3 of the Privacy Act of 1974 (5 U.S.C. 552a(e)(3)).
We require this information under the authority of 18 U.S.C. 925(d). You must disclose this information so we may identify the company on whose behalf applicant claims to act, to
verify the scope of the applicant’s authority to act, and to evaluate the applicant’s qualifications for access to the system.
We use this informaion to approve, grant and control access to sensitive information systems. In addition, the information may be disclosed to other Federal, State and local law
enforcement and regulatory agency personnel to verify information on the application and to aid in the performance of their duties. Disclosure may otherwise be made pursuant to the
routine uses most recently published in the Federal Register for ATF’s Regulatory Enforcement Records System (Treasury/ATF.008).
If you fail to supply complete information then there will be a delay in the processing of your application.
Disclosure of your Social Security Number is voluntary. Solicitation of this information is pursuant to section 925(d), Title 18 U.S. C. The Social Security Number may
be used to verify the applicant’s identity. If you fail to supply your Social Security Number, there will either be a delay in processing your application or you will not be
granted access to the system.
Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. We use this information to authenticate end users in the program to electronically file ATF Form 6 Part I
(5330.3A). The information is used by the Government to verify the identity of the end users prior to issuing them passwords. The information we request is voluntary, however, if the
requested information is not submitted, the users will not be granted a password and cannot participate in the electronic program.
The estimated average burden associated with this collection is 18 minutes per respondent or recordkeeper depending on the individual circumstances.
Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to the Reports Management Officer, Documents Services
Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.
ATF may not conduct or sponsor, and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.
ATF Form 5013.3
Revised February 2004