Form ATF F 6330.1 ATF F 6330.1 Application for National Firearms Examiner Academy

OMB No. 1140-0049 (xx/xx/xxxx)

U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives

Application for National Firearms
Examiner Academy
Social Security Number

Name

Home Address

Agency Name

Agency Address

Agency Telephone Number

E-Mail Address

Present Position Title

Start Date as Examiner Trainee

Are you a U.S. Citizen?

Yes

Name of Immediate Supervisor

Date of Birth

No
Immediate Supervisor’s Telephone Number

Supervisor’s E-mail Address

Previous Educational Experience (Applicant must possess an earned baccalaureate degree from an accredited academic institution with major
course work in physical science, natural science, forensic science, criminalistics, criminal justice, police science, industrial technology, engineering,
or related field.)
College or University
Major
Degree
Year

Are You Assigned to A Training Officer? If Yes, Name, Phone Number and Email Address.

How Many Qualified Full-time Firearms Examiners Are in Your Lab?

How Many Trainees for Your Position Are Presently
in Your Lab?

Are You Currently Following A Training Syllabus? If Yes, Which One.

Related Occupational Experience

Applicant’s Signature

Please mail or fax this form to:

Date

Supervisor’s Signature

Date

National Firearms Examiner Academy
National Laboratory Center
6000 Ammendale Road
Ammendale, MD 20705-1250
Contact Number: (202) 648-6061
Fax Number: (202) 648-6065
Privacy Act Information

1. Purpose. The information requested on this form is necessary to process requests from prospective students to attend the ATF National Firearms
Examiner Academy and to acquire firearms and toolmark examiner training.
2. Routine Uses. The information will be used solely to process the student application form.
3. Disclosure of Social Security Number. The supplying of this information is voluntary. The information is used to accurately verify the applicant’s
identity. Failure to do so will result in a delay in processing the application.
Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to determine the eligibility of the applicant
to attend the ATF National Firearms Examiner Academy.
The estimated average burden associated with this collection of information is 12 minutes per respondent or recordkeeper, depending on individual
circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be addressed to Reports
Management Officer, Document Services Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB
ATF Form 6330.1
control number.
Revised (

)