Information Collection

Representatives of the Administrator, 14 CFR part 183

IC 25528 under ICR 201705-2120-002 · OMB 2120-0033.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0033 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8110-14 Representatives of the Administrator, 14 CFR part 183	Form
14 CFR Part 183.doc www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=eb383447bab8981420a1f41c90d17dd8&rgn=div5&view=text&node=14:3.0.1.5.33&idno=14	Instruction
8110-14 Statement of Qualifications (DAR - ODAR - DMIR - DER) 8110-14.pdf www.faa.gov/documentLibrary/media/Form/FAA_Form_8110-14.pdf	Form
8110-28 Application and Statement of Qualification (DME/DPRE/DAR 8110-28_PRA revised.pdf www.faa.gov/documentLibrary/media/form/faa8110-28.pdf	Form
8710-6 Examiner Designation and Qualification Record 8710-6_PRA revised.pdf www.faa.gov/documentLibrary/media/Form/FAA%20Form%208710-6.pdf	Form
8710-10 National Examiner Board-Designated Pilot Examiner Candid 8710-10_PRA revised.pdf www.faa.gov/documentLibrary/media/Form/FAA_Form_8710-10.pdf	Form

IC Title:

Representatives of the Administrator, 14 CFR part 183

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 183

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
Form	8110-14	Statement of Qualifications (DAR - ODAR - DMIR - DER)	8110-14.pdf	http://www.faa.gov/documentLibrary/media/Form/FAA_Form_8110-14.pdf	Yes	No	Fillable Printable
Form	8110-28	Application and Statement of Qualification (DME/DPRE/DAR-T/ODAR-T)	8110-28_PRA revised.pdf	http://www.faa.gov/documentLibrary/media/form/faa8110-28.pdf	Yes	No	Fillable Printable
Form	8710-6	Examiner Designation and Qualification Record	8710-6_PRA revised.pdf	http://www.faa.gov/documentLibrary/media/Form/FAA%20Form%208710-6.pdf	Yes	No	Fillable Printable
Instruction			14 CFR Part 183.doc	http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=eb383447bab8981420a1f41c90d17dd8&rgn=div5&view=text&node=14:3.0.1.5.33&idno=14	Yes	No	Printable Only
Form	8710-10	National Examiner Board-Designated Pilot Examiner Candidate Application	8710-10_PRA revised.pdf	http://www.faa.gov/documentLibrary/media/Form/FAA_Form_8710-10.pdf	Yes	No	Fillable Printable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,415

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,415	-600	5,015
Annual IC Time Burden (Hours)	6,623	-475	7,098
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.