Information Collection

Airplane and Helicopter Pilot Qualifications and Approval Record

IC 3165 under ICR 202112-0596-006 · OMB 0596-0015.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS-5700-20 Airplane and Helicopter Pilot Qualifications and Approval Record	Form and Instruction
FS-5700-20 Airplane Pilot Record fs_5700-20_fillable.pdf	Form and Instruction
FS-5700-20a Helicopter Pilot Record fs_5700-20a_fillable.pdf	Form and Instruction
FAA_regulations_14CFR.doc 14 CFR FAA Regulations	IC Document
USDA_FS_44.pdf PA SOR USDA/FS-44	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR FAA Regulations (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Form and Instruction	FS-5700-20	Airplane Pilot Record	fs_5700-20_fillable.pdf		Yes	Yes	Fillable Fileable Signable
Form and Instruction	FS-5700-20a	Helicopter Pilot Record	fs_5700-20a_fillable.pdf		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title: Pilot Qualification Records

FR Citation: 42 FR 53237

Number of Respondents: 1,558

Number of Respondents for Small Entity: 1,000

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,558	536	1,022
Annual IC Time Burden (Hours)	1,558	25	1,533
Annual IC Cost Burden (Dollars)	101,348	101,348	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
14 CFR FAA Regulations	FAA_regulations_14CFR.doc	04/02/2008
PA SOR USDA/FS-44	USDA_FS_44.pdf	04/02/2008

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