APPLICATION AND AGREEMENT FOR PHYSIOLOGICAL TRAINING

ICR 198105-2120-002

OMB: 2120-0101

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
141442 Migrated
ICR Details
2120-0101 198105-2120-002
Historical Active
DOT/FAA
APPLICATION AND AGREEMENT FOR PHYSIOLOGICAL TRAINING
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/18/1981
Retrieve Notice of Action (NOA) 05/07/1981
  Inventory as of this Action Requested Previously Approved
06/30/1983 06/30/1983
5,500 0 0
458 0 0
0 0 0

PHYSIOLOGICAL TRAINING IS A VOLUNTARY PROGRAM AVAILABLE TO AIRMEN. SELECTED APPLICANTS LEARN ABOUT THE USE OF OXYGEN AND THE EFFECTS OF ALCOHOL, TOBACCO, DRUGS, AND VERTIGO IN FLYING. INFORMATION COLLECTED IS USED TO DETERMINE APPLICANT ELIGIBILITY.

None
None


No

1
IC Title Form No. Form Name
APPLICATION AND AGREEMENT FOR PHYSIOLOGICAL TRAINING AC 3150-7

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,500 0 0 0 5,500 0
Annual Time Burden (Hours) 458 0 0 0 458 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
05/07/1981


© 2024 OMB.report | Privacy Policy