Police Check Inquiry and Pre-Screening Qualifications Certification

ICR 201304-1140-003

OMB: 1140-0068

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2013-05-22
Supplementary Document
2013-04-09
Supplementary Document
2010-04-22
Supporting Statement A
2013-04-09
IC Document Collections
ICR Details
1140-0068 201304-1140-003
Historical Active 201004-1140-001
DOJ/ATF
Police Check Inquiry and Pre-Screening Qualifications Certification
Revision of a currently approved collection   No
Regular
Approved without change 07/22/2013
Retrieve Notice of Action (NOA) 05/23/2013
  Inventory as of this Action Requested Previously Approved
07/31/2016 36 Months From Approved 07/31/2013
2,500 0 1,000
258 0 83
0 0 0

ATF F 8620.42 will be used to screen individuals having a need for escorted access to ATF facilities. ATF F 8620.62 will be used to screen individuals having a need for unescorted access to ATF facilities and information technology. Information on these forms 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

  78 FR 14121 03/04/2013
78 FR 26656 05/07/2013
No

1
IC Title Form No. Form Name
Police Check Inquiry and Pre-Screening Qualifications Certification ATF F 8620.42, ATF F 8620.62 Police Check Inquiry ,   Pre-Screening Qualifications Certification

  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 2,500 1,000 0 1,500 0 0
Annual Time Burden (Hours) 258 83 0 175 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The changes to this collection are due to adding another information collection instrument (ATF F 8620.62) for pre-screening qualifications of individuals who require unescorted access to ATF facilities, information, and information technology systems. This addition is causing an increase to the number of respondents and burden hours.

$1,500
No
No
No
No
No
Uncollected
Renee Reid 2026489260

  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.
05/23/2013


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