Furnishing of Samples

OMB 1140-0073

ATF requires licensed manufacturers and licensed importers and persons who manufacture or import explosive materials or ammonium nitrate to submit samples at the request of the Director. This collection of information is contained in 27 CFR 555.110.

The latest form for Furnishing of Samples expires 2022-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
27 CFR 555.110 Furnishing of Samples 4.1.2021.pdf Supplementary Document
Justification for 1140-0073 5.19.2022.docx Supporting Statement A
Furnishing of Samples

All Historical Document Collections

202205-1140-004 Approved without change	Extension without change of a currently approved collection	2022-05-26
201903-1140-002 Approved without change	Revision of a currently approved collection	2019-03-29
201602-1140-002 Approved without change	Extension without change of a currently approved collection	2016-02-26
201212-1140-002 Approved without change	Extension without change of a currently approved collection	2012-12-19
200911-1140-001 Approved without change	Extension without change of a currently approved collection	2009-11-19
200609-1140-004 Approved with change	Extension without change of a currently approved collection	2006-09-12
200305-1140-001 Approved without change	Extension without change of a currently approved collection	2003-05-13
200301-1140-004 Approved without change	New collection (Request for a new OMB Control Number)	2003-01-29