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pdfU.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
OMB No. 1140-0004 (04/30/2007)
Interstate Firearms Shipment
Theft/Loss Report
Name
Address
Telephone Number
Shipper/Transferor
Consignee/Transferee
Carrier
Shipment Tracking Number
Shipper/Carrier Claim Number
Date Shipped
Federal Firearms License Number (If applicable)
Name of Reporting Company
Name and Title of Person Making Report (Please type AND sign name)
Telephone Number
Type
Date
Manufacturer
Firearm(s) Description (Use reverse side if additional space is needed)
Model
Serial Number
Caliber
Date Acquired
Shipment Description
Individual Parcel
Shrink Wrapped Pallet
Pallet
Other (Describe)
Brief Summary of Incident:
Mail this form to:
ATF, Stolen Firearms Program Manager
244 Needy Rd.
Martinsburg, WV 25405
For more information you may call toll free: 888-930-9275
Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection documents reports of theft or loss of firearms
experienced by common carriers in interstate shipment. ATF uses the information to investigate and perfect criminal cases. The information requested is
voluntary.
The estimated average burden associated with this collection of information is 20 minutes per respondent or recordkeeper, depending on individual
circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addressed to Reports
Management Officer, Document Services Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.
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.
ATF E-Form 3310.6
Revised April 2004
File Type | application/pdf |
File Modified | 2007-03-19 |
File Created | 2005-03-09 |