PAS for Form 8110-14

Privacy Act Statement

Privacy Act Statement (5 U.S.C. § 552a(e)(3)):

Authority: Information on FAA Form 8110-14, Statement of Qualifications, is solicited under the authority of Title 14 of Code of Federal Regulations, Part 183.

Purpose: The purpose of collecting this information is to evaluate an application, to establish an applicant’s qualifications as a designee and to determine the applicant’s eligibility for the designation sought.

Routine Uses: In accordance with the Privacy Act system of records DOT/FAA 830, Representatives of the Administrator, this information is routinely used to provide the public with the names and addresses of certain categories of representatives who may provide service to them. The Department has also published 15 additional routine uses applicable to all DOT Privacy Act systems of records. These routine uses are published in the Federal Register at 84 FR 55222 - October 15, 2019 and 77 FR 42796 - July 20, 2012, and under ‘‘Prefatory Statement of General Routine Uses’’ (available at http://www.transportation.gov/privacy/privacyactnotices).

Disclosure: Submission of the data is voluntary and will become part of Privacy Act System of Records DOT/FAA 830 Representatives of the Administrator. Incomplete submission may result in delay or denial of your request.