Information Collection

Substance Abuse Professional (SAP) Return-to-Duty Letter for Part 67 Medical Certificate Holders

IC 228198 under ICR 202311-2120-003 · OMB 2120-0535.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0535 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
14 CFR part 120.docx www.ecfr.gov/cgi-bin/text-idx?c=ecfr;sid=9d1f0081a4a84575efb21b5511b98172;rgn=div5;view=text;node=14%3A3.0.1.1.6;idno=14	Instruction
Coordination with Privacy Office.pdf Coordination with Privacy Office	IC Document

IC Title:

Substance Abuse Professional (SAP) Return-to-Duty Letter for Part 67 Medical Certificate Holders

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 120

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
Instruction			14 CFR part 120.docx	https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr;sid=9d1f0081a4a84575efb21b5511b98172;rgn=div5;view=text;node=14%3A3.0.1.1.6;idno=14;cc=ecfr	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	42	42
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Coordination with Privacy Office	Coordination with Privacy Office.pdf	07/29/2020

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