Aviation Medical Examiner (AME) Applicants

Representatives of the Administrator, 14 CFR part 183

Documents and Forms

Document Name Document Type
AME-DMS-Registration-ApplyProcess.pdf designee.faa.gov/#/login Instruction
14 CFR Part 183.docx 14 CFR part 183 IC Document
DMS Privacy Act Statement (AGC Approved 2-13-20).docx PAS for DMS IC Document

Information Collection (IC) Details

IC Title:	Aviation Medical Examiner (AME) Applicants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 183

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			AME-DMS-Registration-ApplyProcess.pdf	https://designee.faa.gov/#/login	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 238	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	476	476
Annual IC Time Burden (Hours)	714	714
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
14 CFR part 183	14 CFR Part 183.docx	02/05/2020
PAS for DMS	DMS Privacy Act Statement (AGC Approved 2-13-20).docx	02/19/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.