Form Atf F 5400.21 - Instructuion printable pdf download

P.O. BOX 845219

INSTRUCTIONS

DEFINITIONS

STORAGE

Display or special fireworks are classified as low explosives.

DISPLAY FIREWORKS - Large fireworks designed primarily to produce

visible or audible effects by combustion, deflagration, or detonation. This

The law, 18 U.S.C. section 842 (j), provides, "It shall be unlawful for any

term includes, but is not limited to, salutes containing more than 40 grams

person to store any explosive material in a manner not in conformity with

of pyrotechnic compositions, and other display pieces which exceed the

regulations promulgated by the Secretary.”

limits of explosive mateials for classification as "consumer fireworks”.

Display fireworks are classifed as fireworksUN0333, UN0334, or UN0335

The regulations for the storage of low explosives and variance procedures

by the U.S. Department of Transportation at 49 CFR 172.101. This term

can be obtained from your local ATF office.

also includes fused set pieces containing components which together

exceed 50 mg of salute powder.

STORAGE FACILITY INFORMATION

RESPONSIBLE PERSON(S) - Person(s) responsible for acquiring the

Must be completed to show that adequate provisions for storage are

fireworks. A responsible person must sign the application.

in place should fireworks be received earlier or later than expected or

not used within 24 hours after receipt.

USER LIMITED DISPLAY FIREWORKS - a user permit is valid only for a

single purchase transaction. It is issued to authorize a person to acquire

Section 842 (j), 18 U.S.C. provides “It shall be unlawful for any person to

for his own use, display fireworks, in a state other than the state in which

store any explosive material in a manner not in conformity with regulations

he resides or from a foreign country and to transport display fireworks in

promulgated by the Secretary”’ Before applying for a license or permit, the

interstate or foreign commerce. The application should be submitted at

applicant must read and be familiar with the requirements as set forth in 27

feast 90 days prior to date of intended use.

CFR Part 55, Subpart K - STORAGE. AN APPLICATION WILL BE

DENlED IF UPON INVESTIGATION IT IS FOUND THAT PROVISIONS

ATF MAILING ADDRESS

FOR PROPER STORAGE OF FIREWORKS ARE INADEQUATE.

Mail payment of $75 fee along with Copy 1 of your application

NOTES

to:

A Federal permit confers no right to conduct business or operations,

BUREAU OF ALCOHOL, TOBACCO AND FIREARMS

Including storage, contrary to State or other law. Applicants are required to

notify the appropriate chief law enforcement officer (CLEO) and the fire

DALLAS, TEXAS 75284-5219

marshal having jurisdiction over the fireworks display site. These officials

must also be notified of sites where explosives will be stored or manufac-

tured. The provisions for these requirements are found at 27 CFR sections

MAKE CHECK OR MONEY ORDER PAYABLE TO

55.201(f) and 55.210(C).

“BUREAU OF ALCOHOL, TOBACCO AND FIREARMS”

PRIVACY ACT INFORMATION

The following information is provided purusant to Section 3 and 7(b) of the Privacy Act of 1974

1. AUTHORITY. Solicitation of this information is made pursuant to 18 U.S.C.

843(a). Disclosure of this information by the applicant is mandatory if

the applicant wishes to obtain a permit for explosives.

2. PURPOSE. To identify the applicant, to Identify the location of the premises, and to determine the eligibility of the applicant to obtain such permit.

3. ROUTINE USES. The Information will be used by ATF to make determinations set forth in paragraph 2. In addition, information may be directly

disclosed to other Federal, State, foreign and local law enforcement and regulatory agency personnel to verify information on the application and to

aid in the performance of their duties with respect to the regulation of explosives unless such disclosure is prohibited by law. The information may

further be disclosed to the Justice Department if it appears that the furnishing of false information may constitute a violation of Federal law. Finally,

the information may be disclosed to members of the public in order to verify the information on the application where such disclosure is not prohibited

by law.

4. EFFECTS OF NOT SUPPLYING INFORMATION REQUESTED. Failure to supply complete information will delay processing and may cause denial of

the application.

5. DISCLOSURE OF SOCIAL SECURITY NUMBER. Disclosure of the individual’s social security number is voluntary. Under 18 U.S.C.

ATF has the authority to solicit the information. The number may be used to verify the individual’s identity.

PAPERWORK REDUCTION ACT NOTICE

This request is in accordance with the Paperwork Reduction Act of 1995. The information collection is used to determine the eligibility of the applicant to

engage in certain operations, to determine location and extent of operations, and to determine whether the operations will be in conformity with Federal

laws and regulations. The information requested is required to obtain or retain a benefit and is mandatory by statute (18 U.S.C. 843).

The estimated average burden associated with this collection is 18 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 directed to Reports Management Officer,

Document Services Branch, Bureau of Alcohol, Tobacco and Firearms, 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 F 5400.21 (11-98)

Form Atf F 5400.21 - Instructuion

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