Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedure

Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedure

Burden Statement Template 2023 v1

Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedure

OMB: 2120-0543

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OMB CONTROL NUMBER: 2120-0543
EXPIRATION DATE: 03/31/2024


Paperwork Reduction Act Burden Statement


A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0543. Public reporting for this collection of information is estimated to be approximately (30) minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

All responses to this collection of information are mandatory per Title 14 C.F.R. Part 61 § 61.15(e); however the use of the electronic format is optional. Information collected is covered in the Privacy Act System of Records, DOT/FAA 847, Aviation Records on Individuals. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleOMB NO: XXXX-XXXX
Authorpatricia.lawton
File Modified0000-00-00
File Created2023-12-11

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