Form ATF F 3310.6 ATF F 3310.6 Interstate Firearms Shipment Theft/Loss Report

OMB No. 1140-0004 ( xx/xx/xxxx)

U.S. Department of Justice
Bureau of Alcohol, Tobacco, Firearms and Explosives

Interstate Firearms Shipment
Theft /Loss Report

Name

Address

Telephone Number

Shipper/Transferor

Consignee/Transferee

Carrier
Date Shipped

Shipper/Carrier Claim Number

Shipment Tracking Number

Name of Reporting Company

Federal Firearms License Number (If applicable)

Name and Title of Person Making Report (Please print AND sign name)

Telephone Number

Date

Firearm(s) Description (Use reverse side if additional space is needed)
Type

Manufacturer

Model

Caliber

Serial Number

Date Acquired

Shipment Description
Individual Parcel

Shrink Wrapped Pallet

Pallet

Other (Describe):

Brief Summary of Incident:

MAIL THIS FORM TO:

ATF, STOLEN FIREARMS PROGRAM MANAGER
244 NEEDY RD.
MARTINSBURG, WV 25401
FOR MORE INFORMATION YOU MAY CALL TOLL FREE 888-930-9275
ATF Form 3310.6
Revised April 2004

Paperwork Reduction Act Notice
This request is in accordance with the Paperwork Reduction Act of 1995. The information collection documents reports of theft or loss of firearms
experienced by common carriers in interstate shipment. ATF uses the information to investigate and perfect criminal cases. The information
requested is voluntary.
The estimated average burden associated with this collection of information is 20 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 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.

ATF Form 3310.6
Revised April 2004