OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Police Check Inquiry and Pre-Screening Qualifications Certification

ICR 201411-1140-004 · OMB 1140-0068 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form ATF F 8620.42 Police Check Inquiry and Pre-Screening Qualifications Certification Form and Instruction Modified Available
Executive Order 10450.pdf Supplementary Document Uploaded 2013-05-22 Available
Exec Order 13467.pdf Supplementary Document Uploaded 2013-04-09 Available
SECURITY REQUIREMENTS FOR GOVERNMENT EMPLOYEES.htm Supplementary Document Uploaded 2010-04-22 Available
1140-0068_Supporting Statement (Justification 11-21-14).docx Supporting Statement A Uploaded 2014-11-21 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
12837 Police Check Inquiry and Pre-Screening Qualifications Certification Form and Instruction Modified
ICR Details
1140-0068 201411-1140-004
Historical Active 201304-1140-003
DOJ/ATF
Police Check Inquiry and Pre-Screening Qualifications Certification
Revision of a currently approved collection   No
Regular
Approved without change 01/13/2015
Retrieve Notice of Action (NOA) 11/21/2014
  Inventory as of this Action Requested Previously Approved
01/31/2018 36 Months From Approved 07/31/2016
2,500 0 2,500
258 0 258
0 0 0
ATF F 8620.42 will be used to screen individuals having a need for escorted access to ATF facilities. ATF F 8620.62 will be used to screen individuals having a need for unescorted access to ATF facilities and information technology. Information on these forms will be used to conduct criminal record searches.
EO: EO 10450 Name/Subject of EO: Security Requirements for Government Employees
  
None
Not associated with rulemaking
  79 FR 49539 08/21/2014
79 FR 63643 10/24/2014
No
1
IC Title Form No. Form Name
Police Check Inquiry and Pre-Screening Qualifications Certification ATF F 8620.42, ATF F 8620.62 Police Check Inquiry ,   Pre-Screening Qualifications Certification
  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 2,500 2,500 0 0 0 0
Annual Time Burden (Hours) 258 258 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,500
No
No
No
No
No
Uncollected
Renee Reid 2026489260
  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.
11/21/2014