Daily Rules, Proposed Rules, and Notices of the Federal Government


Bureau of Alcohol, Tobacco, Firearms and Explosives

[OMB Number 1140-0094]

Agency Information Collection Activities; Proposed Collection; Comments Requested: Certification of Qualifying State Relief From Disabilities Program

ACTION: The Department of Justice (DOJ), Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF), will be submitting the following information collection request to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995. The proposed information collection is published to obtain comments from the public and affected agencies. Comments are encouraged and will be accepted for "sixty days" until January 22, 2013. This process is conducted in accordance with 5 CFR 1320.10.

If you have comments especially on the estimated public burden or associated response time, suggestions, or need a copy of the proposed information collection instrument with instructions or additional information, please contact Gary Taylor, Firearms Industry Programs Branch

Written comments and suggestions from the public and affected agencies concerning the proposed collection of information are encouraged. Your comments should address one or more of the following four points:

--Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility;--Evaluate the accuracy of the agency's estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;--Enhance the quality, utility, and clarity of the information to be collected; and--Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submission of responses.

Summary of Information Collection:

(1)Type of Information Collection:Revision of a currently approved collection.

(2)Title of the Form/Collection:Certification of Qualifying State Relief from Disabilities Program.

(3)Agency form number, if any, and the applicable component of the Department of Justice sponsoring the collection:Form Number: ATF F 3210.12. Bureau of Alcohol, Tobacco, Firearms and Explosives.

(4)Affected public who will be asked or required to respond, as well as a briefabstract.Primary: State, Local or Tribal Government. Other: None.

Need for Collection:The form is used by a State to certify to the U.S. Department of Justice, Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) that it has established a qualifying mental health relief from firearms disabilities program that satisfies certain minimum criteria under Section 105 of the National Instant Check System Improvement Act. Changes to the forminclude changing the form submission address and requesting the citation for the relief program.

(5)An estimate of the total number of respondents and the amount of time estimatedfor an average respondent to respond:It is estimated that 50 respondents will complete a 15 minute form.

(6)An estimate of the total public burden (in hours) associated with the collection:There are an estimated 13 annual total burden hours associated with this collection.

If additional information is required contact: Jerri Murray, Department Clearance Officer, Policy and Planning Staff, Justice Management Division, United States Department of Justice, Two Constitution Square, 145 N Street NE., Room 3W-1407B, Washington, DC 20530.

Dated: November 15, 2012. Jerri Murray, Department Clearance Officer for PRA, U.S. Department of Justice.