Request for ATF Background Investigation Information

ICR 201701-1140-001

OMB: 1140-0105

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Justification for No Material/Nonsubstantive Change
2017-01-17
Supplementary Document
2013-12-19
Supporting Statement A
2013-12-19
IC Document Collections
ICR Details
1140-0105 201701-1140-001
Historical Active 201312-1140-004
DOJ/ATF
Request for ATF Background Investigation Information
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/18/2017
Retrieve Notice of Action (NOA) 01/17/2017
  Inventory as of this Action Requested Previously Approved
02/28/2017 02/28/2017 02/28/2017
300 0 300
25 0 25
0 0 0

This form is necessary to maintain a record of another agency's official request for an individual's background investigation record. The documented request will assist ATF in ensuring that unauthorized disclosures of information do not occur.

None
None

Not associated with rulemaking

  78 FR 57415 09/18/2013
78 FR 70070 11/22/2013
No

1
IC Title Form No. Form Name
Request for ATF Background Investigation Information ATF F 8620.65 Request for ATF Background Investigation Information

  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 300 300 0 0 0 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is an increase in burden because this is a new collection. ATF will use this collection to maintain a record of another agency's official request for an individual's background investigation record.

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.
01/17/2017


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