AVIATION SAFETY INSPECTOR, SUPPLEMENTAL QUALIFICATIONS STATEMENT

ICR 199204-2120-002

OMB: 2120-0500

Federal Form Document

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Name
Status
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ICR Details
2120-0500 199204-2120-002
Historical Active 198810-2120-001
DOT/FAA
AVIATION SAFETY INSPECTOR, SUPPLEMENTAL QUALIFICATIONS STATEMENT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 05/15/1992
Retrieve Notice of Action (NOA) 04/15/1992
  Inventory as of this Action Requested Previously Approved
03/31/1995 03/31/1995
2,000 0 0
1,000 0 0
0 0 0

THIS INFORMATION, IN ADDITION TO THE SF-171, IS NEEDED TO EVALUATE QUALIFICATIONS OF APPLICANTS FOR AVIATION SAFETY INSPECTOR POSITIONS ESTABLISHED BY THE FEDERAL AVIATION ACT OF 1958. THIS INFORMATION WILL BE EVALUATED BY SUBJECT MATTER SPECIALISTS TO RATE AND RANK APPLICANTS ON REGISTERS OF ELIGIBLES MAINTAINED BY THE FAA.

None
None


No

1
IC Title Form No. Form Name
AVIATION SAFETY INSPECTOR, SUPPLEMENTAL QUALIFICATIONS STATEMENT FAA 3330-17

  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 2,000 0 0 2,000 0 0
Annual Time Burden (Hours) 1,000 0 0 1,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
04/15/1992


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