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

Documents and Forms

Document Name Document Type
Burden Statement Template 2023 v1.docx ashapps.faa.gov/notificationletter/ Instruction
1600-85 DUI/DWI Notification Letter Online NL form 1600-85 PAS.pdf ashapps.faa.gov/notificationletter/verify/3a63d2df-31cc-4001-b9e0-88e93339cfd5 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 61

Information Collection Instruments:

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

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title: DOT/FAA 847 - Aviation Records on Individuals	FR Citation: 75 FR 68849

Number of Respondents: 480	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 57 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	599	-263	862
Annual IC Time Burden (Hours)	300	-131	431
Annual IC Cost Burden (Dollars)	1,498	636	862

Documents for IC

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.