Aviation Medical Examiner Program

ICR 201308-2120-006

OMB: 2120-0604

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2014-05-21
IC Document Collections
IC ID
Document
Title
Status
25693 Modified
ICR Details
2120-0604 201308-2120-006
Historical Active 201104-2120-002
DOT/FAA
Aviation Medical Examiner Program
Extension without change of a currently approved collection   No
Regular
Approved with change 05/22/2014
Retrieve Notice of Action (NOA) 08/27/2013
FAA is approved this collection until October, 2015. At that time, FAA should be in position to accept electronic submissions.
  Inventory as of this Action Requested Previously Approved
10/31/2015 36 Months From Approved 05/31/2014
450 0 450
225 0 225
0 0 0

This collection is necessary in order to determine applicants qualifications for certification as an Aviation Medical Examiner (AME).

US Code: 49 USC 44702 Name of Law: Issuance of certificates
  
None

Not associated with rulemaking

  78 FR 29427 05/20/2013
78 FR 48539 08/08/2013
No

1
IC Title Form No. Form Name
Aviation Medical Examiner Program 8520-2 Aviation Medical Examiner Designation Application

  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 450 450 0 0 0 0
Annual Time Burden (Hours) 225 225 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$109,500
No
No
No
No
No
Uncollected
Helen Hnarakis 202 267-8094

  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.
08/27/2013


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