RESEARCH QUESTIONNAIRE TO BE USED IN THE PROGRAM TO IDENTIFY AND TREAT PILOT ERROR

ICR 198904-2120-006

OMB: 2120-0531

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2120-0531 198904-2120-006
Historical Active 198712-2120-001
DOT/FAA
RESEARCH QUESTIONNAIRE TO BE USED IN THE PROGRAM TO IDENTIFY AND TREAT PILOT ERROR
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/03/1989
Approved with change 04/03/1989
Retrieve Notice of Action (NOA) 04/03/1989
  Inventory as of this Action Requested Previously Approved
12/31/1989 12/31/1989 12/31/1989
750 0 750
750 0 750
0 0 0

UNDERSTANDING "PILOT ERROR," PARTICULARLY POOR JUDGMENT, WOULD GREATLY ASSIST ACCIDENT PREVENTION AND FACILITATE THE TREATMENT OF PILOTS INVOLVED IN GENERAL AVIATION ACCIDENTS, INCIDENTS AND VIOLATIONS. AN ANONYMOUS, RETROSPECTIVE, CASE-CONTROL SURVEY WOULD IDENTIFY PSYCHOSOCIAL RISK FACTORS AMONG FAA-CERTIFIED PILOTS. CANDIDATES FOR A SPECIALLY DESIGNED REHABILITATION PROGRAM WOULD BE DESCRIBED.

None
None


No

1
IC Title Form No. Form Name
RESEARCH QUESTIONNAIRE TO BE USED IN THE PROGRAM TO IDENTIFY AND TREAT PILOT ERROR

  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 750 750 0 0 0 0
Annual Time Burden (Hours) 750 750 0 0 0 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.
04/03/1989


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