Information Collection

Refusal to Take Alcohol Test Report to FAA

IC 228195 under ICR 201610-2120-002 · OMB 2120-0535.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0535 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
14 CFR Part 120.doc www.ecfr.gov/cgi-bin/text-idx?c=ecfr;sid=672cbc116db94a0f7e8e8c62d998e1d8;rgn=div2;view=text;node=20090514:1.38;idno=14;c	Instruction

IC Title:

Refusal to Take Alcohol Test Report to FAA

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 120

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			14 CFR Part 120.doc	http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr;sid=672cbc116db94a0f7e8e8c62d998e1d8;rgn=div2;view=text;node=20090514:1.38;idno=14;cc=ecfr;start=1;size=25	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	7	-313,735	313,742
Annual IC Time Burden (Hours)	2	-22,900	22,902
Annual IC Cost Burden (Dollars)	0	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.