Email or fax this completed form to the ATF address listed below or call if no fax is available:
Bureau of Alcohol, Tobacco, Firearms and Explosives
U.S. Bomb Data Center
99 New York Ave., N.E. 8.S-295
Washington, DC 20226
Toll Free Fax: 1-866-927-4570
Email Address: USBDC@atf.gov
Questions regarding the completion of this form should be referred to the U.S. Bomb Data Center toll free at 1-800-461-8841.
Privacy Act Information
The following information is provided pursuant to section 3 of the Privacy Act of 1974 (5 U.S.C. § 522a(e)(3).
Disclosure of a theft or loss of explosive materials is mandatory pursuant to 18 U.S.C. § 842(k) for any person who has knowledge of such theft or
loss from his stock.
2. Purpose. The purpose for the collection of this information is to give ATF notice of the theft or loss of explosive materials, and to furnish ATF with
3. Routine Uses. The information will be used by ATF to aid in the administration of laws within its jurisdiction concerning the regulation of explosive
materials and other related areas. In addition, the information may be disclosed to other Federal, State, foreign, and local law enforcement of laws
January 24, 2003.
4. Eects of not supplying information requested. 18 U.S.C. § 842(k) makes it unlawful for any person, who has knowledge of the theft or loss of
explosive materials from his stock, to fail to report such theft or loss within twenty-four hours of discovery thereof, to the Secretary and to appropriate
18 U.S.C. § 844(b).
Paperwork Reduction Act Notice
The estimated average burden associated with this collection of information is 1 hour and 48 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
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
ATF E-Form 5400.5