Certification of Qualifying State Relief From Disabilities Program

Certification of Qualifying State Relief from Disabilities Program

Documents and Forms

Document Name Document Type
Form ATF Form 3210.12 Certification of Qualifying State Relief From Disabilities Program Form and Instruction
ATF Form 3210.12 Certification of Qualifying State Relief from Disabiliti F 3210. 12 (April 2022) Revised with watermark.pdf Form and Instruction
ATF Form 3210.12 Certification of Qualifying State Relief from Disabiliti F 3210. 12 (April 2022) Revised with watermark.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Certification of Qualifying State Relief From Disabilities Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 27 CFR 478.11

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ATF Form 3210.12	Certification of Qualifying State Relief from Disabilities Program	F 3210. 12 (April 2022) Revised with watermark.pdf		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	13	0	13
Annual IC Cost Burden (Dollars)	29	29	0

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.