Information Collection

Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedure

IC 25617 under ICR 201804-2120-001 · OMB 2120-0543.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0543 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Notification_Letter with burden statemnt.pdf	Other-Web Entry
Airmen DUI_DWI.pdf	Instruction

IC Title:

Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedure

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 61

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
Other-Web Entry			Notification_Letter with burden statemnt.pdf		Yes	No	Fillable Printable
Instruction			Airmen DUI_DWI.pdf		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title: DOT/FAA 847 - Aviation Records on Individuals

FR Citation: 75 FR 68849

Number of Respondents: 937

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	937	-248	1,185
Annual IC Time Burden (Hours)	156	-41	197
Annual IC Cost Burden (Dollars)	2,811	-1,337	4,148

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.