Employee Possessor Questionnaire

ICR 201212-1140-001

OMB: 1140-0072

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2012-12-07
Supporting Statement A
2013-02-08
IC Document Collections
IC ID
Document
Title
Status
12849 Modified
ICR Details
1140-0072 201212-1140-001
Historical Active 200910-1140-007
DOJ/ATF
Employee Possessor Questionnaire
Extension without change of a currently approved collection   No
Regular
Approved with change 02/08/2013
Retrieve Notice of Action (NOA) 12/12/2012
Approved for 2 years while ATF continues to work towards making this collection fully electronic.
  Inventory as of this Action Requested Previously Approved
02/28/2015 36 Months From Approved 02/28/2013
10,000 0 10,000
3,334 0 3,334
0 0 0

Each employee possessor in the explosives business or operations required to ship, transport, receive, or possess (actual or constructive) explosive materials must submit this form. ATF F 5400.28 will be used to determine the eligibility of the employee possessor to possess explosives.

US Code: 18 USC 843 Name of Law: Licenses and user permits
  
None

Not associated with rulemaking

  77 FR 57592 09/18/2012
77 FR 70469 11/26/2012
No

1
IC Title Form No. Form Name
Employee Possessor Questionnaire ATF F 5400.28 Employee Possessor Questionnaire

  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 10,000 10,000 0 0 0 0
Annual Time Burden (Hours) 3,334 3,334 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Christopher Reeves 304 616-4419

  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.
12/12/2012


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