OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Certification of Qualifying State Relief from Disabilities Program

ICR 200904-1140-004 · OMB 1140-0094 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ATF F 3210.12 Certification of Qualifying State Relief From Disabilities Program Form and Instruction New Repair queued
27 C.F.R. 478.11.doc Supplementary Document Uploaded 2009-04-23 Available
18 USC 922(d)(4) and (g)(4).doc Supplementary Document Uploaded 2009-04-23 Available
Emergency Review Statement (final).doc Supplementary Document Uploaded 2009-04-23 Available
ATF FORM 3210.12 JUSTIFICATION.DOC Supporting Statement A Uploaded 2009-04-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
188936 Certification of Qualifying State Relief From Disabilities Program Form and Instruction New
ICR Details
1140-0094 200904-1140-004
Historical Active
DOJ/ATF
Certification of Qualifying State Relief from Disabilities Program
New collection (Request for a new OMB Control Number)   No
Emergency 05/05/2009
Approved without change 05/06/2009
Retrieve Notice of Action (NOA) 04/23/2009
  Inventory as of this Action Requested Previously Approved
11/30/2009 6 Months From Approved
50 0 0
13 0 0
0 0 0
The purpose of the information is to determine whether a State has certified, to the satisfication of the Attorney General, that is has established a relief from disabilities program in accordance with the requirements of the National Instant Check System Improvement Act.
Due to recent appropriations of funds with limited time for disbursement, the Bureau of ATF is requesting emergency review and approval. In order to be eligible for grant funding, an applicant state must satisfy certain conditions before being elibible to receive a grant. One of those conditions is that the applicant's state must certify to the satisfaction of the Attorney General that it has implemented a qualifying program permitting persons who were adjudicated as a "mental defective" or committed to a mental institution to apply for relief from the Federal Firearms disabilities imposed as a result of the adjudication or commitment. See 18 USC 922(d)(4)and(g)(4) and 27 CFR 478.11 Grant applications must be approved by Department of Justice Office of Justice Programs, applications are due from the state by May 22, 2009. Unfortunately, that deadline will pass before the OMB process has been completed. Without the emergency approval, states will not be able to apply for grant funding and the Bureau of Justice Statistics will not be able to award the funds appropriated. See supplemental emergency statement.
US Code: 18 USC 922 Name of Law: Unlawful Acts
  
None
Not associated with rulemaking
  74 FR 17688 04/16/2009
No
1
IC Title Form No. Form Name
Certification of Qualifying State Relief From Disabilities Program ATF F 3210.12 Certification of Qualifying State Relief From Disabilities Program
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50 0 0 50 0 0
Annual Time Burden (Hours) 13 0 0 13 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection.
$0
No
No
Uncollected
Uncollected
No
Uncollected
Jeanne Miller 2026487138
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/23/2009