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pdfNOAA Form 56-80A
OMB Approved No. 0648-0047
(07-24)
U.S. DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
NOAA CORPS DIRECT-TO-AVIATION SUMMARY
Name
Email
Phone
Total Flight Hours
Total Flight Hours
ASEL ____
Rotary ____ PIC ____ Turbine ____
Flight Time in Previous 90
Days
Ratings Held
AMEL ____ ASES ____ AMES ____
Flight Time in Previous 365 Days Instructor Ratings Held (CFI, CFI-I, MEI)
Total Instructor Time
Additional Qualifications/Endorsements (e.g., high altitude, complex, tailwheel)
Have you ever been found at fault by the Federal Aviation Administration for an accident or incident?
Yes (If yes, provide explanation.) _____________________________________________________________
No
Do you have a history of any training and/or check ride failure(s) during primary training? Primary training applies to
private, instrument, commercial, or single/multi-engine add-on.
Yes
No
I certify that all statements in this application are true, complete and correct to the best of my knowledge and belief, and
are made in good faith.
Signature
Date
What to expect as a NOAA Corps Direct-to-Aviation Aviator:
●
Must successfully complete a military entrance flight physical.
●
Must successfully complete Basic Officer Training Class (BOTC).
●
Likely to begin your career on a light aircraft (Twin Otter or King Air).
●
Expected to fly on mission up to 120 days per year.
●
Initial Operational Aviation Assignment at Aircraft Operations Center (AOC) in Lakeland, FL (KLAL) – 5
years. Follow-on assignments are 3 years.
●
AOC Staff Job/Ground Duties - Serve in one of AOC's Branches (maintenance, operations, administration, safety).
●
Incur 4-year Active Duty Service Obligation (ADSO) after completion of BOTC.
●
May incur additional ADSOs depending on training. ADSO can be served concurrently.
●
Aviation retention bonus may be available contingent on signing up to a 5-year service commitment after meeting
the requisite flight hours and eligibility requirements.
Public 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 an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has
a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0648-0047. Without this
approval, we could not conduct this information collection. Public reporting for this information collection is estimated to be approximately 15
minutes/hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the information collection. All responses to this information collection are required to obtain benefits.
Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden
to the OMAO Policy Program, NOAA, 1315 East West Highway, Silver Spring, MD 20910, [email protected].
Privacy Act Advisory Statement
The Privacy Act of 1974 requires that you be given certain information in connection with the information solicited on the attached forms. The
data is required under 33 USC 3002 -3072 The information requested in this form is utilized to evaluate your qualifications. The furnishing of this
data is voluntary for use in determining your qualifications for appointment in the NOAA Corps. Failure to provide the requested data will
preclude your consideration for appointment.
Privacy Act Statement
Authority: The collection of this information is authorized under 5 U.S.C. § 301, Departmental regulations; Executive Order 12656, Assignment
of emergency preparedness responsibilities; Homeland Security, Federal Continuity Directive 1, requiring Federal agencies to account for its
personnel during emergencies; and Departmental Administrative Order 210-1, Emergency Readiness for Departmental Continuity.
Purpose: The Department of Commerce (Department) is collecting this information to ensure managers, supervisors, continuity of operations
(COOP), and other appropriate staff and individuals have the most current personal contact information for contacting you in the event of an
emergency or if needed for a shift and cannot be contacted otherwise. As an example, the information will be used to ensure employee
accountability as it relates to protection and safe being in a catastrophic situation.
Routine Uses: The Department will use this information to send notifications, alerts, and/or activations and to relay critical updates and
guidance to Department personnel in response to an emergency scenario or exercise. Disclosure of this information is permitted under the
Privacy Act of 1974 (5 U.S.C. Section 552a) to be shared among Department staff for work-related purposes. Disclosure of this information is
also subject to all of the published routine uses as identified in the Privacy Act System of Records Notice COMMERCE/DEPT-18, Employees
Personnel Files Not Covered by Notices of Other Agencies.
Disclosure: Furnishing this information is mandatory. The failure to provide accurate information may delay or prevent you from receiving
notifications in the event of an emergency. The failure to provide this information also may have an effect on your Federal service under certain
circumstances. For example, failure to supply this information may delay or make it impossible to notify you in the event of an emergency about
a change to your duty location and/or the Department’s needs for your service in an emergency, which may result in you being placed in an
absent without leave status.
File Type | application/pdf |
Author | Karl.Mangels |
File Modified | 2024-07-08 |
File Created | 2024-06-05 |