Information Collection

DME and DPRE applicants

IC 239813 under ICR 202002-2120-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
DME SIS.docx designee.faa.gov/#/login	Other-Supplemental Information Sheet
DPRE SIS.docx designee.faa.gov/#/login	Other-Supplemental Information Sheet
DME-DPRE_DMS_registration and application.pdf designee.faa.gov/#/login	Instruction
DME-DPRE_DMS_registration and application.pdf designee.faa.gov/#/login	Instruction
DME SIS.docx DME Supplemental Information Sheet	IC Document
DPRE SIS.docx DPRE Supplemental Information Sheet	IC Document
14 CFR Part 183.docx 14 CFR part 183	IC Document
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
DMS Privacy Act Statement (AGC Approved 2-13-20).docx PAS for DMS	IC Document

IC Title:

DME and DPRE 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:

table that charts list of instruments
Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	https://designee.faa.gov/#/login	Yes	Yes	Fillable Fileable
Other-Supplemental Information Sheet	https://designee.faa.gov/#/login	Yes	Yes	Fillable Fileable
Other-Supplemental Information Sheet	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: 96

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	192	0	192
Annual IC Time Burden (Hours)	1,152	864	288
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
14 CFR part 183		02/05/2020
PAS for DMS		02/19/2020
DME Supplemental Information Sheet		02/19/2021
DPRE Supplemental Information Sheet		02/19/2021

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

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