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pdfOMB No. 1140-0049 (09/30/2023)
U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives
Application for National Firearms
Examiner Academy
Name
Home Address
Date of Birth
Place of Birth
Agency Name
Agency Address
Agency Telephone Number
E- Mail Address
Present Position Title
Start Date as Examiner Trainee
Yes
Are you a U.S. Citizen?
No
Social Security Number
Have you been the subject of a favorable background investigation with your agency? If so submit verification from your
agency.
Name of Immediate Supervisor
Supervisor’s E-mail Address
Immediate Supervisor’s Telephone Number
Previous Educational Experience (Applicant must possess an earned baccalaureate degree from an accredited academic institution with major
course work in physical science, natural science, forensic science, criminalistics, criminal justice, or related field.)
College or University
Major
Are You Assigned to A Training Officer? If Yes, provide name, phone number and e-mail address
How Many Qualified Full-time Firearms Examiners Are in Your Lab and Actively
Working Cases?
Degree
Year
How Many Trainees for Your Position Are Presently in Your Lab?
Are You Currently Following A Trainng Syllabus? If Yes, Which One.
Related Occupational Experience
Applicant’s Signature
Date
Please mail or e-mail this form to:
National Firearms Examiner Academy
National Laboratory Center
6000 Ammendale Road
Ammendale, MD 20705-1250
[email protected]
Questions Please Contact:
202-527-5078
Date
Supervisor’s Signature
Privacy Act Information
1. Purpose. The information requested on this form is necessary to process requests from prospective students to attend the ATF National Firearms
Examiner Academy and to acquire firearms and toolmark examiner training.
2. Routine Uses. The information will be used solely to process the student application form.
3. Disclosure of Social Security Number. The supplying of this information is voluntary. The information is used to accurately verify the applicant’s
identity. Failure to do so will result in a delay in processing the application.
Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to determine the eligibility of the applicant to attend the ATF
National Firearms Examiner Academy.
The estimated average burden associated with this collection of information is 10 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 address to Reports
Management Officer, Document Services Branch, 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 6330. 1
Revised August 2017
File Type | application/pdf |
File Title | Application for National Firearms Examiner Academy |
Subject | Application for National Firearms Examiner Academy |
Author | ATF |
File Modified | 2022-05-03 |
File Created | 2020-10-13 |