Form ATF Form 3310.6 ATF Form 3310.6 Interstate Firearms Shipment Theft/Loss Report

OMB No. 1140-0004 (xx/xx/xxxx)

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

Interstate Firearms Shipment
Theft /Loss Report

Name/FFL#

Address

Telephone Number

Shipper/Transferor

Consignee/Transferee

Carrier
Date Shipped

Shipper/Carrier Claim Number

Shipment Tracking Number
Name of Reporting Company

Federal Firearms License Number (If applicable)

Telephone Number

Full Name and Position of Person Making Report (Please print )
Signature of Person Making Report

AF
T

Email Address of Shipper or Person Making Report

Shipment Description

Date Acquired

R

Manufacturer

D

Firearm(s) Description (Use reverse side if additional space is needed)
Serial Number
Model
Caliber

Type

Date

Individual Parcel

Shrink Wrapped Pallet

Pallet

Other (Describe):

Brief Summary of Incident:

Shipper/Transferor FFL is required by law to submit ATF Form 3310.11. Completed forms can be mailed, emailed or faxed. For more information, call toll free: 888-930-9275
MAIL THIS FORM TO:

U.S. DEPARTMENT OF JUSTICE
NTC - LESB - SFP
244 NEEDY RD.
MARTINSBURG, WV 25405

E MAIL THIS FORM TO:

[email protected]

FAX THIS FORM TO:

304-260-3676 or 304-260-3671

Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection documents reports of theft or loss of firearms experienced by common carriers in interstate
shipment. ATF uses the information to investigate and perfect criminal cases. The information requested is voluntary.
The estimated average burden associated with this collection of information is 20 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, 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. ATF Form 3310.6
Revised (

)