OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 25617 under ICR 202306-2120-006 · OMB 2120-0543.

Documents and Forms
Document Name
Document Type
Instruction
Form
Information Collection (IC) Details

View Information Collection (IC)

Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedure
 
No Modified
 
Mandatory
 
14 CFR 61

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Burden Statement Template 2023 v1.docx https://ashapps.faa.gov/notificationletter/ Yes Yes Fillable Fileable Signable
Form 1600-85 DUI/DWI Notification Letter Online NL form 1600-85 PAS.pdf https://ashapps.faa.gov/notificationletter/verify/3a63d2df-31cc-4001-b9e0-88e93339cfd5 Yes Yes Fillable Fileable Signable

Transportation Air Transportation

DOT/FAA 847 - Aviation Records on Individuals   75 FR 68849

480 0
   
Individuals or Households
 
   57 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 599 0 -263 0 0 862
Annual IC Time Burden (Hours) 300 0 -131 0 0 431
Annual IC Cost Burden (Dollars) 1,498 0 636 0 0 862

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.