View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Aviation Medical Examiner (AME) Applicants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 183

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			AME-DMS-Registration-ApplyProcess.pdf	https://designee.faa.gov/#/login	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 238	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	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	476	0	0	476	0	0
Annual IC Time Burden (Hours)	2,856	0	2,142	714	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
14 CFR part 183	14 CFR Part 183.docx	02/05/2020
PAS for DMS	DMS Privacy Act Statement (AGC Approved 2-13-20).docx	02/19/2020

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