OMB control number

Financial Responsibility Acknowledgment

OMB 1140-0117 · 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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form ATF Form 8620.28 Financial Responsibility Acknowledgment Form and Instruction
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
Financial Responsibility Acknowledgment Form and Instruction

All Historical Document Collections

202409-1140-002	Revision of a currently approved collection	2024-09-25
202107-1140-001 Approved without change	New collection (Request for a new OMB Control Number)	2021-07-21