Survey of Airman Satisfaction with Aeromedical Certification Services

Forms and Documents

Document Name	Status
Form 2120-0707 Survey of Airman Satisfaction with Aeromedical Certification Services Form	Modified
April USE_AMCS Airman 2014 Feedback Survey Results_FASMT - Current.pptx Supplementary Document	2015-06-29
2014 AMCS Pilot overall Report NO text Final Appendices A-B.pdf Supplementary Document	2015-06-29
2016 OMB AMCS Airman Reminder letter2.docx Supplementary Document	2015-06-29
2016 OMB AMCS Airman Reminder letter1.docx Supplementary Document	2015-06-29
2120-0707 2015 B.doc Supporting Statement B	2015-06-29
2120-0707 2015 A.doc Supporting Statement A	2015-06-29
2016 OMB AMCS Airman Invitation letter.docx Supplementary Document	2015-06-29

IC Document Collections

IC ID	Document Title	Status
25872	Survey of Airman Satisfaction with Aeromedical Certification Services Form	Modified

ICR Details

OMB Control No: 2120-0707	ICR Reference No: 201506-2120-004
Status: Historical Active	Previous ICR Reference No: 201112-2120-006
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: Survey of Airman Satisfaction with Aeromedical Certification Services
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/17/2016
	Date Received in OIRA: 07/23/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	03/31/2016
Responses	2,333	0	2,333
Time Burden (Hours)	584	0	584
Cost Burden (Dollars)	0	0	0

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Abstract: This survey assesses airman opinion of key dimensions of service quality. These dimensions, identified by the OMB Statistical Policy Office, are courtesy, competence, reliability and communication.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 19107	04/09/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 35695	06/22/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Survey of Airman Satisfaction with Aeromedical Certification Services	2120-0707	FAA Aerospace Medical Certification Services Pilot Satisfaction Survey

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ICR Summary of Burden

	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	2,333	2,333	0	0	0	0
Annual Time Burden (Hours)	584	584	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $26,246

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/23/2015

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