Police Check Inquiry

ICR 201004-1140-001

OMB: 1140-0068

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2010-04-22
Supporting Statement A
2010-04-22
IC Document Collections
IC ID
Document
Title
Status
12837 Modified
ICR Details
1140-0068 201004-1140-001
Historical Active 200702-1140-001
DOJ/ATF
Police Check Inquiry
Extension without change of a currently approved collection   No
Regular
Approved with change 05/28/2010
Retrieve Notice of Action (NOA) 04/26/2010
  Inventory as of this Action Requested Previously Approved
05/31/2013 36 Months From Approved 05/31/2010
1,000 0 1,000
83 0 83
0 0 0

ATF F 8620.42 will be used to screen individuals having a need for escorted access to ATF facilities. Information on this form will be used to conduct criminal record searches.

EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employees
  
None

Not associated with rulemaking

  75 FR 6707 02/10/2010
75 FR 18885 04/13/2010
No

1
IC Title Form No. Form Name
Police Check Inquiry ATF F 8620.42 Police Check Inquiry

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 83 83 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,500
No
No
No
Uncollected
No
Uncollected
Niki Wiltshire 202 648-9260

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/26/2010


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