Refusal to Take Alcohol Test Report to FAA

Drug and Alcohol Testing Program for Personnel Engaged in Specified Aviation Activities

Documents and Forms

Document Name Document Type
14 CFR part 120.docx www.ecfr.gov/current/title-14/chapter-I/subchapter-G/part-120 Instruction

Information Collection (IC) Details

IC Title:	Refusal to Take Alcohol Test Report to FAA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 120

Information Collection 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/current/title-14/chapter-I/subchapter-G/part-120	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Previously Approved
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

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.