Special Agent Medical (Preplacement/Incumbent)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1140-0056 can be found here:

Documents and Forms

Document Name Document Type
Form ATF F 2300.10 Special Agent Medical (Preplacement/Incumbent) Form and Instruction
ATF F 2300.10 Special Agent Medical (Preplacement/Incumbent) F 2300. 10 (December 2019) with watermark.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Special Agent Medical (Preplacement/Incumbent)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 339.301

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ATF F 2300.10	Special Agent Medical (Preplacement/Incumbent)	F 2300. 10 (December 2019) with watermark.pdf		No		Printable Only

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 288	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	288	168	120
Annual IC Time Burden (Hours)	216	126	90
Annual IC Cost Burden (Dollars)	3,600	2,160	1,440

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.