Information Collection

Special Agent Medical (Preplacement/Incumbent)

IC 12813 under ICR 202306-1140-007 · OMB 1140-0056.

Documents and Forms

Documents and forms in this information collection
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
ATF F 2300.10 Special Agent Medical (Preplacement/Incumbent) F 2300. 10 (December 2019) with watermark.pdf	Form and Instruction

IC Title:

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:

table that charts list of 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		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title: ATF-007

FR Citation: 82 FR 24147

Number of Respondents: 380

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	380	92	288
Annual IC Time Burden (Hours)	285	69	216
Annual IC Cost Burden (Dollars)	0	-3,600	3,600

Documents for IC

table that charts IC Documents
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.