Form ATF F 1370.4 ATF F 1370.4 ATF Distribution Center Survey

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

OMB No. 1140-0001 (xx/xx/xxxx)

ATF Distribution Center Survey

Paperwork Reduction Act Notice. This request is in accordance with the Paperwork Reduction Act of 1995, your response is voluntary.
The estimated average burden associated with this collection of information is 1 minute per respondent. Comments concerning the accuracy of
this burden estimate and suggestions for reducing this burden should be addressed to Chief, Print Media 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 control number.
This form is available electronically at www.atf.gov. The completed form can be submitted via e-mail to [email protected].

Was the order correct and complete?
For Freight Shipments Only

Yes

Invoice Number

No

Condition of Shipment When Received
Good
Damaged But Useable
Damaged and Unuseable
Name and Address of Your Organization

Ordering Method
Web

Date of Order
Phone

Mail

How would you rate the overall performance of the ATF Distribution
Center compared to other agencies?
Excellent

Good

Fair

Poor

Date Shipment Received

Additional Comments (If any)

ATF Form 1370.4
Revised