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Employee Possessor Questionnaire
Employee Possessor Questionnaire
OMB: 1140-0072
IC ID: 12849
OMB.report
DOJ/ATF
OMB 1140-0072
ICR 200910-1140-007
IC 12849
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1140-0072 can be found here:
2024-01-30 - No material or nonsubstantive change to a currently approved collection
2023-09-25 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form ATF F 5400.28
Employee Possessor Questionnaire
Form and Instruction
ATF F 5400.28 Employee Possessor Questionnaire
F540028(OMBRev10-09).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Employee Possessor Questionnaire
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
27 CFR 555
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
ATF F 5400.28
Employee Possessor Questionnaire
F540028(OMBRev10-09).pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Law Enforcement
Subfunction:
Crime Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10,000
0
0
0
0
10,000
Annual IC Time Burden (Hours)
3,334
0
0
0
0
3,334
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.