Emergency Request Form 83I

PAPERWORK REDUCTION ACT SUBMISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form, contact your agency's
Paperwork Clearance Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting Statement, and any
additional documentation to: Office of Information and Regulatory Affairs, Office of Management and Budget, Docket Library, Room
10102, 725 17th Street NW, Washington, DC 20503.
1. Agency/Subagency originating request

2. OMB control number

1140 0020

Bureau of Alcohol, Tobacco, Firearms and Explosives
3. Type of information collection (check one)
a.
New Collection
b.

4. Type of review requested (check one)
a.
Regular
b.

c.
d.

Extension of a currently approved collection
Reinstatement, without change, of a previously approved
collection for which approval has expired

e.

Reinstatement, with change, of a previously approved
collection for which approval has expired
Existing collection in use without an OMB control number

01 10 12
✔ Emergency - Approval requested by: ____/____/____

c.

Delegated

5. Small entities
Will this information collection have a significant economic impact on a
substantial number of small entities?
Yes

✔ No

6. Requested expiration date

For b-f, note Item A2 of Supporting Statement instructions
7. Title

None

__ __ __ __

a. __ __ __ __ - __ __ __ __

✔ Revision of a currently approved collection

f.

b.

a.

Three years from the approval date

b.

✔Other: _____/_____

Firearms Transaction Record Part I- Over-the-Counter

8. Agency form number(s) (if applicable)

ATF Form 4473 (5300.9)
9. Keywords
10. Abstract

Gun Control Act, Firearm, Law Enforcement, Recordkeeping, National Firearms Act

The form allows for Federal firearms licensees to determine the eligibility of persons purchasing firearms.
It also alerts buyers to certain restrictions on the receipt and possession of firearms.

11. Affected public (Mark primary with "P" and all others with "X")
P Individuals or households
a. __
d. __ Farms
X Business or other for-profit
e. __ Federal Government
b. __
c. __ Not-for-profit institutions
f. __ State, Local, or Tribal Government
13. Annual reporting and recordkeeping hour burden
14,409,616
a. Number of respondents
14,409,616
b. Total annual responses
1. Percentage of these responses
0
collected electronically
%
7,204,808
c. Total annual hours requested
d. Current OMB inventory
e. Difference

12. Obligation to respond (Mark primary with "P" and all others that apply with "X")
a.
Voluntary
b.
Required to obtain or retain benefits
c. P Mandatory
14. Annual reporting and recordkeeping cost burden(in thousands of dollars)
0
a. Total annualized capital/startup costs __________________________
0
b. Total annual costs (O&M)

0
0
0

c. Total annualized cost requested
d. Current OMB inventory
e. Difference

56,037
+7,148,771

f. Explanation of difference
1. Program change

f. Explanation of difference
1. Program change

0
0

2. Adjustment

2. Adjustment
15. Purpose of information collection (Mark primary with "P" and all others that
apply with "X")
a. __ Application for benefits
b. __ Program evaluation

e. __ Program planning or management
f. __ Research

c. __ General purpose statistics
d. __ Audit

g. P
__ Regulatory or compliance

17. Statistical methods
Does this information collection employ statistical methods?
✔ No
Yes

16. Frequency of recordkeeping or reporting (check all that apply)
a. ✔ Recordkeeping
b.
Third party disclosure
c.

Reporting:
1.
On occasion

2.

Weekly

4.
7.

5.
8.

Semi-annually
6.
Annually
Other (describe) _____________

Quarterly
Biennially

3.

Monthly

18. Agency contact (person who can best answer questions regarding the content
of this submission)
Nilda Santamaria
Name: ______________________________________________________

202-648-7190
Phone: _____________________________________________________
OMB 83-I

10/95

19. Certification for Paperwork Reduction Act Submissions
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with
5 CFR 1320.9.
NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 1320.8(b)(3), appear at the end of the
instructions. The certification is to be made with reference to those regulatory provisions as set forth in
the instructions.
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected (see note in Item 19 of the instructions);
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item below and explain the reason in
Item 18 of the Supporting Statement.

Signature of Senior Official or designee

OMB 83-I

Date

10/95