Form FIST-1 2019/2020 Firearm Inquiry Statistics Program

U.S DEPARTMENT OF JUSTICE
BUREAU OF JUSTICE STATISTICS (BJS)
FORM FIST-1

OMB NO. 1121-0314: Approval Expires (__/__/20__)

(REJIS ACTING AS DATA COLLECTION AGENT)

2019/2020 FIREARMS INQUIRY STATISTICS (FIST)

Annual Survey of Background Checks for Firearm Transfers and Permits
Please correct any errors in the name and address information that is printed below.

OFFICIAL AGENCY NAME (If different from above)
9-DIGIT NCIC-ORI NUMBER
PERSON COMPLETING THE FORM
NAME

TITLE

TELEPHONE

FAX

E-MAIL ADDRESS
RETURN INSTRUCTIONS
• Please submit your completed form by using the web reporting option at rejis.org/FIST, mailing it to the
Regional Justice Information Service (REJIS) in the enclosed postage paid envelope, or faxing each page to 1314-535-1729.
• If you have any questions, comments, or feedback about the survey, please call the FIST project manager toll
free at 1-800-531-2150, or send an e-mail to [email protected].
• Please retain a copy of your completed survey for 1 year.
Burden Statement

Federal agencies may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information,
unless it displays a currently valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 25
minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. Send comments regarding this burden estimate, or any other aspects of this
collection of information, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street, NW,
Washington, DC 20531. The Omnibus Crime Control and Safe Streets Act of 1968, as amended (42 USC 3732), authorizes this information
collection.
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INSTRUCTIONS FOR COMPLETING THE FORM
Please mark ‘X’ in the appropriate boxes.
If possible, please answer all questions for the entire calendar years (January through December) 2019 & 2020.
If data are available for only part of the year, please supply any available information in the spaces provided.
If the answer to a question is “not available” or “unknown,” write “DK” in the space provided.
If the answer to a question is “not applicable,” write “NA” in the space provided.
If the answer to a question is “none” or “zero,” write “0” in the space provided. Please respond with zero only
when the actual total reported count is zero, as opposed to when the data are not known or unavailable.
When an exact numeric response is not available, provide an estimate and mark the estimate box next to the
number field. Please provide a brief explanation in Section II to describe how the estimates were calculated.
Please do not leave any items blank unless otherwise directed.

Section I –APPLICATIONS AND DENIALS

2b. How many of the 2020 Denials were for:

How many Point of Transfer firearm applications
were recorded or retained by your agency for the
following periods: (Please make an estimate if the
exact counts of applications are not known.)
1. Between January 1, 2020 and
December 31, 2020:
2020 Applications

Mark ‘x’ if
estimate

__________________

Long Guns

__________________

Both Handguns
and Long Guns

__________________

__________________

Long Guns

__________________

Both Handguns
and Long Guns

__________________

Between January 1, 2020 and
December 31, 2020:
2020 Denials

2019 Denials

__________________

__________________

Both Handguns
and Long Guns

__________________
__________________
__________________

3. Does your agency record the reason(s) why an
application was denied? (Please indicate “Yes” if your
agency had zero denials in 2019 or 2020, but you would
record the reason(s) for a denial if one were processed.
Please also indicate “Yes” if you can provide estimates
for reasons for denial.)
Yes

4. What is recorded for the reason(s) why an
application was denied?

Mark ‘x’ if
estimate

All reasons for denial are recorded
Only the first reason found during the
background check is recorded

Only the most serious charge listed on the
criminal history is recorded
Other method of recording (Please explain
below or in Comments section.)

Don’t know

__________________

2a. Between January 1, 2019 and
December 31, 2019:

Both Handguns
and Long Guns

No (skip to question number 6)

How many Point of Transfer firearm applications
were denied during the following periods: (A
denial occurs when an applicant is prohibited from
receiving a firearm or permit that can be used to
obtain a firearm because a disqualifying factor was
found during a background check -- Please make an
estimate if the exact counts of denials are not known.)
2.

__________________

Long Guns

Mark ‘x’ if
estimate

1c. How many of the 2019 Applications were for:
Handguns

Long Guns

Handguns

1b. How many of the 2020 Applications were for:
Handguns

__________________

2c. How many of the 2019 Denials were for:

__________________

1a. Between January 1, 2019 and
December 31, 2019:
2019 Applications
__________________

Handguns

Mark ‘x’ if
estimate

5. For denials recorded in 2020, why was the
application denied? List total counts (including
zeros, where applicable) for each reason for a denial.
Please include all federal, state, and local law reasons
for denial within the most appropriate category.
Mark ‘x’ in the checkbox provided for any estimated
counts.
Transfers

5a. For denials recorded in 2019, why was the
application denied? List total counts (including
zeros, where applicable) for each reason for a denial.
Please include all federal, state, and local law reasons
for denial within the most appropriate category. Mark
‘x’ in the checkbox provided for any estimated counts.

Mark ‘x’ if
estimate

Transfers

a. Felony indictment or
charge………………….………

a. Felony indictment or
charge………………….………

b. Felony conviction…..........

b. Felony conviction…..........

c. Felony arrest with no
disposition...............................
d. Fugitive or outstanding
warrant………………………..…..
e. Domestic violence
misdemeanor…....…….….......
f. Domestic violence,
protective or restraining
order………………………..………
g. Addicted to or unlawful
user of a controlled
substance….…………….…….…
h. Mental health
commitment or
adjudication….….…..…………

c. Felony arrest with no
disposition..............................
d. Fugitive or outstanding
warrant…………………..…..
e. Domestic violence
misdemeanor…….….......
f. Domestic violence,
protective or restraining
order…………………..………
g. Addicted to or unlawful
user of a controlled
substance….……….…….…
h. Mental health commitment
or adjudication….…..…………

i. Illegal or unlawful alien…...
j. State law prohibitor
(if not included in above
categories)………………..….…..
k. Local law prohibitor
(if not included in above
categories)………….…..………..
l. Other reasons not
included above (including
juveniles and dishonorable
discharge)………………………

Mark ‘x’ if
estimate

i. Illegal or unlawful alien…...
j. State law prohibitor
(if not included in above
categories)…………..….…..
k. Local law prohibitor
(if not included in above
categories)…….…..………..
l. Other reasons not
included above
(including juveniles and
dishonorable
discharge)……………………
(After answering this question, skip to question
number 7)

6. If possible, please estimate what proportion
(percentage) of your agency’s denials for 2019
and 2020 combined are made up of the
following reasons:
Felony arrests, charges, and convictions
Domestic violence convictions and
protective (restraining) orders

______
______

State law prohibitor (if not included in
above categories)

______

Other reasons not included above
(including juveniles and dishonorable
discharge)

______

7. Do any of the counts you provided for any of
the items throughout the survey cover only
part of the year?
Yes (please specify below or in Comments
section):
-Which counts cover only part of the year
-The months that are covered

No

Section II - COMMENTS
Please include any comments that would better explain how your agency collects information for firearm transfers or
permits, including the names of any permit or transfer types not listed on this form that you record, process, or
conduct background checks for. If the reported totals are estimates please provide a brief explanation to describe how
the estimates were calculated.
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