Alcohol Misuse Prevention Program for Personnel Engaged in

ICR 200009-2120-004

OMB: 2120-0571

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2120-0571 200009-2120-004
Historical Active 200009-2120-003
DOT/FAA
Alcohol Misuse Prevention Program for Personnel Engaged in
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/27/2000
Retrieve Notice of Action (NOA) 09/27/2000
  Inventory as of this Action Requested Previously Approved
09/30/2000 09/30/2000 02/28/2003
1 0 1
1 0 1
0 0 0

14 CFR Part 121, Appendices I and J require specified aviation employers to implement and conduct FAA-approved alcohol programs. To monitor program compliance, institute program improvements, and anticipate program problem areas, the FAA receives alcohol test reports form the aviation industry.

None
None


No

1
IC Title Form No. Form Name
Alcohol Misuse Prevention Program for Personnel Engaged in FAA-FORM-9000-3

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 1 1 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.
09/27/2000


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