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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Notification_Letter with burden statemnt.pdf Other-Web Entry
Airmen DUI_DWI.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.