Information Collection

Survey of Airman Satisfaction with Aeromedical Certification Services

IC 25872 under ICR 201112-2120-006 · OMB 2120-0707.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0707 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2120-0707 Survey Cover.doc medxpress.faa.gov/loginnet/Login.aspx?app=AMCS	Instruction
2120-0707 FAA Aerospace Medical Certification Services Pilot Satis 2012 AMCS Survey.doc medxpress.faa.gov/loginnet/Login.aspx?app=AMCS	Form

IC Title:

Survey of Airman Satisfaction with Aeromedical Certification Services

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			2120-0707 Survey Cover.doc	https://medxpress.faa.gov/loginnet/Login.aspx?app=AMCS	Yes	No	Printable Only
Form	2120-0707	FAA Aerospace Medical Certification Services Pilot Satisfaction Survey	2012 AMCS Survey.doc	https://medxpress.faa.gov/loginnet/Login.aspx?app=AMCS	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,333

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,333	2,333
Annual IC Time Burden (Hours)	584	584
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.