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U.S. Department of Justice

Bureau of Alcohol, Tobacco, Firearms and Explosives

Application for National Firearms

Examiner Academy

OMB No. 1140-0049 (07/31/2020)

Name Home Address

Date of Birth

Social Security Number

Agency Name Agency Address Agency Telephone Number

E- Mail Address Present Position Title Start Date as Examiner Trainee

Are you a U.S. Citizen? Yes

No

Name of Immediate Supervisor Supervisor’s E-mail Address Immediate Supervisor’s Telephone Number

Previous Educational Experience (Applicant must possess an earned baccalaureate degree from an accredited academic institution with major course work in physical science, natural science, forensic science, criminalistics, criminal justice, or related ield.)

College or University Major Degree Year

Are You Assigned to A Training Oicer? If Yes, provide name, phone number and e-mail address How Many Trainees for Your Position Are Presently in Your Lab?

How Many Qualiied Full-time Firearms Examiners Are in Your Lab and Actively

Working Cases?

Are You Currently Following A Trainng Syllabus? If Yes, Which One.

Related Occupational Experience

Please mail or e-mail this form to: National Firearms Examiner Academy National Laboratory Center 6000 Ammendale Road Ammendale, MD 20705-1250 NFEATraining@atf.gov

Questions Please Contact: (202) 648-6061

Privacy Act Information

1. Purpose. The information requested on this form is necessary to process requests from prospective students to attend the ATF National Firearms

Examiner Academy and to acquire irearms and toolmark examiner training.

2. Routine Uses. The information will be used solely to process the student application form.

3. Disclosure of Social Security Number. The supplying of this information is voluntary. The information is used to accurately verify the applicant’s identity. Failure to do so will result in a delay in processing the application.

Paperwork Reduction Act Notice

This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to determine the eligibility of the applicant to attend the ATF National Firearms Examiner Academy.

The estimated average burden associated with this collection of information is 10 minutes per respondent or recordkeeper, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be address to Reports

Management Oicer, Document Services Branch, Bureau of Alcohol, Tobacco, Firearms and Explosives, Washington, DC 20226.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Applicant’s Signature Date Supervisor’s Signature Date

ATF E-Form 6330. 1 Revised August 2017

Have you been the subject of a favorable background investigation with your agency? If so submit veriiction from your

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