THIS FORM IS NECESSARY TO IMPLEMENT
REGULATIONS AND GUIDELINES AUTHORIZED BY THE NATIONAL ENVIRONMENTAL
ACT OF 1969. THIS FORM REQUIRES A LICENSE OR PERMIT APPLICANT TO
APPLICANT TO STATE THE LOCATION OF EXISTING OR PROPOSED ACTIVITIES
CONNECTED WITH AN ATF ISSUED LICENSE OR PERMIT AND THE QUESTIONS
CONCERNING LAND, WATER AND AIR POLLUTION OF THE ACTIVITIES. FORM IS
NOT REQUIRED FOR LICENSEES OR PERMITTEES THAT HAVE LIMITED IMPACT
ON ENVIRONMENT.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.