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ATF E-Form 1370.3 Revised August 2009 OMB No. 1140-0065 (08/31/2016) U.S. Department of Justice

Bureau of Alcohol, Tobacco, Firearms and Explosives

Requisition for Forms or Publications

ATF Use Only

Note: To better serve you, please: 1. Order a year's supply at a time, if possible. 2. Keep a copy of this order for your records.

Send To: ATF DISTRIBUTION CENTER 13882 REDSKIN DRIVE HERNDON, VA 20171

1. Date Requested 2. User's Requisition Number

Order Number:

3. For Information Call (Name, Tel. No., Ext.)

4. Delivery

Normal Priority

(Specify) (Delivery Date)

5. Supervisor Approval 6. Office Code

Form or

Publication No. Title or Description

Quantity Requested

Quantity Furnished

Total:

Delivery Address Name

Complete Street Address (Exclude P.O. Box and Route Numbers)

City, State and Zip Code

Paperwork Reduction Act Notice

This request is in accordance with the Paperwork Reduction Act of 1995. The information requested on this form is necessary to fulfill requests from the public for various forms and publications concerning firearms and explosives. The supplying of information by the respondent is involuntary.

The estimated average burden associated with this collection of information is 3 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 addressed to Reports Management Officer, Document Services, Bureau of Alcohol, Tobacco, Firearms, and Explosives, Washington, DC 20226.

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