OMB control number
Financial Responsibility Acknowledgment
OMB 1140-0117 ยท DOJ/ATF.
OMB 1140-0117
The Financial Responsibility Acknowledgment (ATF F 8620.28) is used to determine if a candidate for federal or contractor employment at the Bureau of Alcohol, Tobacco, Firearms and Explosives is in compliance with federal regulations, which state that employees shall satisfy in good faith their obligations as citizens, including all just financial obligations. The previous name of this information collection was Financial History Questionnaire.
The latest form for Financial Responsibility Acknowledgment expires 2027-11-30 and is listed under ICR 202409-1140-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form ATF Form 8620.28 Financial Responsibility Acknowledgment | Form and Instruction |
| Form ATF Form 8620.28 Financial Responsibility Acknowledgment | Form and Instruction |
| Executive Order 13764 1.17.2017.pdf | Supplementary Document |
| Executive Order 13764 1.17.2017.pdf | Supplementary Document |
| Executive Order 13467 7.2.2008.pdf | Supplementary Document |
 3 - Supporting Statement A - ATF F 8620.28 - 6-20-2024.docx | Supporting Statement A |
| 3 - Supporting Statement A - ATF F 8620.28 - 6-20-2024.docx | Supporting Statement A |
 Financial Responsibility Acknowledgment |
Form and Instruction |
| Financial Responsibility Acknowledgment |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202409-1140-002 | Revision of a currently approved collection | 2024-09-25 | ||
| 202107-1140-001 | New collection (Request for a new OMB Control Number) | 2021-07-21 | Approved without change |