Form ATF 6400.1 ATF 6400.1 Training Registration Request for Non-ATF Employees

OMB No. 1140-0053 (xx/xx/xxxx)

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

Course of Interest
Course ID

Training Registration Request for
Non-ATF Employees

Course Title

Participant Information
Name (Last, first, middle initial)

Social Security Number

Sex

Rank/Title
Male

Female

Agency Type (Please check one)

Department/Agency Name

Federal

Local

State

Military
Participant’s E-mail Address

Department/Agency Address (Number, street, city, State, and zip code)

Office Telephone Number (Including area code)

Supervisor’s Name

Fax Telephone Number (Including area code)

Supervisor’s Signature

International Law Enforcement

Length of Time in Public Service

Supervisor’s E-Mail Address

Telephone Number (Including
area code)

Briefly Describe Your Area of Responsibility and Duties

For Explosives, Arson, or International Training, Please Mail or
Fax This Form To:
The National Center for Explosives Training and Research
800 K Street NW., Suite 600
Washington, DC 20001
Contact Number: (202) 927-7580
Fax: (202) 927-3179

For Other Advanced Training Programs, Please Mail or Fax This Form
To:
Advanced Firearms and Operations Training Division
800 K Street, NW., Suite 810
Washington, DC 20001
Contact Number: (202) 927-7673
Fax: (202) 927-7624

For Students Interested in the National Firearms Examiner Academy, Please Use ATF E-Form 6330.1.
Privacy Act Information
This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974) December 31, 1974, relative to the collection of information from
prospective students to attend the ATF Training.
1. Authority. Sections 1302 3301, 3304, and 7201 of Title 5, United States Code, 42 U.S.C. 4222; 5 U.S.C. 301; and 46 F.R. 16586.
2. Purpose. To obtain information from Federal, State and local, military and international law enforcement personnel making application for training
conducted by ATF for the purpose of student registration, program information, and program evaluation.
3. Routine Uses. Disclosure upon request to the individual, to the individual’s parent agency, or to any other individual or agency at the request of
the individual to ATF or other government officials is on a need to know basis.
4. Effects of Nondisclosure. Disclosure of your social security number, which is solicited under the authority of Executive Order 9367, is also
voluntary and no right, benefit, or privilege by law will be denied as a result to disclose it. Not providing all or any part of the requested information may result in the applicant not being registered for the requested program.
Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to determine the eligibility of the applicant
to attend ATF training.
The estimated average burden associated with this collection is 6 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 directed to the 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
ATF Form 6400.1
control number.
Revised (

)