Information Collection

Relief of Disabilities and Application for Restoration of Explosives Privileges

IC 12857 under ICR 202609-1140-005 · OMB 1140-0076.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1140-0076 (ATF For Request for Relief from Explosives Disability Relief of Disabilities and Application for Restoration of Explosives Privileges	Form and Instruction
1140-0076 (ATF For Request for Relief from Explosives Disability 1140-0076 request for relief explosives F 5400. 31 2026 508c w wm.pdf	Form and Instruction

IC Title:

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 555.142

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	1140-0076 (ATF Form 5400.31)				Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Crime Prevention

Privacy Act System of Records

Title: Administrative Record System

FR Citation: 82 FR 24147

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	0	-50	300
Annual IC Time Burden (Hours)	125	-125	100	150
Annual IC Cost Burden (Dollars)	11,375	0	1,586	9,789

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.

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