Doj Form 100B PDF Details

When you are looking to purchase a firearm, there are numerous forms that you will be required to fill out. One of these is the Doj Form 100B, also known as the Firearms Transaction Record. This form is used to record all pertinent information about the firearm being purchased, including the make, model, and serial number. It is important that this form be filled out accurately and completely in order to avoid any delays in the process. The Doj Form 100B can be downloaded from the internet or obtained from your local firearms dealer.

QuestionAnswer
Form NameDoj Form 100B
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other names2000, CommunicationsEquipment, includingtitle, 100ADOJ

Form Preview Example

DOJ Form 100BReasonable Accommodation Information Reporting Form

(To be maintained separateand apart from personnel files and for the durationof the individual’semployment. A copy must be provided by the Decision Maker to the appropriateAccommodationCoordinator.)

Name of employee requesting reasonable accommodation:

Office of employee:

1.Reasonable accommodation: (checkone)

Approved (If approved, attach copy of DOJ Form 100A.)

Denied (If denied, attach copy of DOJ Form 100A,DOJ Form 100Cand any related written denial letter/memo.)

2.Date reasonable accommodation requested: Who received request:

3.Name of Decision Maker if different from person identified directly above:

4.Date reasonable accommodation approved or denied:

5.Date reasonable accommodation provided (ifdifferentfrom date approved):

6. Interim measures provided, if any:

7.If time frames outlined in the Reasonable Accommodation Procedures were not met, please explain why.

8.Job held by individual requesting reasonable accommodation (includingtitle, occupational series,grade

level, and office):

9.Reasonable accommodation needed for: (check one)

Performing Job Functions or Accessingthe Work Environment

Accessing a Benefit or Privilege of Employment (eg.,attendingA training program or socialevent)

10.Type(s) of reasonable accommodation requested (Circleone:Personnel Action, AdaptiveEquipment (includingInformation Technology and CommunicationsEquipment); Specially Designed Furniture; Removal OF anArchitecturalBarrier(s)(includingreconfigured work spaces); AccessibleParking; Materials inAlternative Formats (e.g.,Braille,Large Print);Job Restructuring; Retraining;Adjusting Schedules; Flexible Leave Policies;Alternate WorkSchedule; Alternate WorkSite; Reassignment ToAnother Job; Reader, Sign Language Interpreter,or other

StaffAssistant; or explain other:

.)

11.Type(s) of reasonable accommodation provided (ifdifferentfrom what was requested):

12.Was medical or other appropriate supporting information required to process this request? If yes, explain why.

13.Sources of technical assistance, if any, consulted in trying to identify possible reasonable accommodations (E.G.,JobAccommodationNetwork, disability organization,Personnel,Disability ProgramManager):

14.Comments:

Submitted by:

Phone:

Title:

Attach DOJ Form 100A, DOJ Form 100C(if required) and copiesof alldocuments obtained or developed in

processing this request.

DOJ Form 100B

PRIVACY ACT STATEMENT

(This form is covered by the Privacy Act of 1974. Public Law 93-597. Authority for requesting the personal data and the use thereof are given below.)

1.FORM NUMBER/TITLE/DATE: DOJ Form 100A /Request for Reasonable Accommodation/ October 17, 2002; DOJ Form 100B/Reasonable Accommodation Information Reporting Form/ October 17, 2002; or DOJ Form 100C/Denial of Reasonable Accommodation/October 17, 2002.

2.AUTHORITY: The Rehabilitation Act of 1973, as amended, 29 U.S.C. 791; Executive Order 13164, dated July 26, 2000, Section 1(b)(9); and Equal Employment Opportunity Commission’s Policy Guidance on Executive Order 13164: Establishing Procedures to Facilitate the Provision of Reasonable Accommodation, Directives Transmittal Number 915.003, October 20, 2000.

3.PRINCIPAL PURPOSE: To record and track requests for reasonable accommodation by individuals with disabilities, their provision, and the disposition of such requests for the Department of Justice only.

4.ROUTINE USES: Pursuant to subsection (b)(3) of the Privacy Act, information may be disclosed from

this system as follows: To the news media and the public pursuant to 28 CFR 50.2 unless it is determined that release of the specific information in the context of a particular case would constitute an unwarranted invasion of personal privacy. To a Member of Congress or staff acting upon the Member’s behalf when the Member or staff requests the information on behalf of an individual who is the subject of the record. To the General Services Administration and National Archives and Records Administration in records management inspections conducted under the authority of 44 U.S.C. 2904 and 2906. Where a record, either on its face or in conjunction with other information, indicates a violation or potential violation of law, to any civil or criminal law enforcement authority or other appropriate agency, whether federal, state, local, foreign, or tribal, charged with the responsibility of investigating or prosecuting such a violation or enforcing or implementing a statute, rule, regulation, or order. In an appropriate proceeding before a court, grand jury, or administrative or regulatory body when records are determined by DOJ to be arguably relevant to the proceeding. To an actual or potential party to litigation or the party’s authorized representative for the purpose of negotiation or discussion on such matters as settlement, plea bargaining, or in informal discovery proceedings. To a federal agency or entity that requires information relevant to a decision concerning the hiring, appointment, or retention of an employee, the issuance of a security clearance, the conduct of a security or suitability investigation, or pursuit of other appropriate personnel matter. To a federal, state, local, or tribal agency or entity that requires information relevant to a decision concerning the letting of a license or permit, the issuance of a grant or benefit, or other need for the information in performance of official duties. To contractors, grantees, experts, consultants, students, and others performing or working on a contract, service, grant, cooperative agreement, or other assignment for the Federal Government, when necessary to accomplish an agency function related to this system of records. To a former employee of the Department for purposes of: responding to an official inquiry by a federal, state, or local government entity or professional licensing authority, in accordance with applicable Department regulations; or facilitating communications with a former employee that may be necessary for personnel-related or other official purposes where the Department requires information and/or consultation assistance from the former employee regarding a matter within that person’s former area of responsibility. To the White House (the President, Vice President, their staffs, and other entities of the Executive Office of the President (EOP)) for Executive Branch coordination of activities which relate to or have an effect upon the carrying out of the constitutional, statutory, or other official or ceremonial duties of the President. To such recipients and under such circumstances and procedures as are mandated by federal statute or treaty.

5.WHETHER DISCLOSURE IS MANDATORY OR VOLUNTARY AND EFFECT ON INDIVIDUAL FOR NOT PROVIDING INFORMATION: The provision of information for Form 100A is voluntary; however, if you do not provide this information, the Department may not provide you with an accommodation, and you may not receive important information. Forms 100B and 100C are mandatory for Decision Makers.