View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2120-0707
ICR Reference No:
201904-2120-007
Status:
Historical Active
Previous ICR Reference No:
201506-2120-004
Agency/Subagency:
DOT/FAA
Agency Tracking No:
Title:
Survey of Airman Satisfaction with Aeromedical Certification Services
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
11/26/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/07/2019
Terms of Clearance:
Prior to resubmission, the agency should ensure that URLs to surveys use .gov top-level domains.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2022
36 Months From Approved
11/30/2019
Responses
2,323
0
2,333
Time Burden (Hours)
581
0
584
Cost Burden (Dollars)
0
0
0
Abstract:
• The survey will be available for completion either electronically or hard copy • The collection is reported by survey and is voluntary • Airmen who have sought a medical certification within two years of the survey administration will be invited to participate in the survey • The survey will take place approximately every two years • The survey will be administered by the Human Factors Research Lab of the Civil Aerospace Medical Institute with the support of Cherokee CRC, LLC. • Demographic information will be collected from respondents, but any information disseminated to the public will be presented in aggregate form • The information obtained from the survey will be used to brief the Federal Air Surgeon, the Regional Flight Surgeons, and the Director of the Civil Aerospace Medical Institute following the survey closing • Data will be used by the senior managers of OAM to: o Evaluate stakeholder satisfaction with aeromedical certification services provided by or on behalf of the FAA o Identify areas in which improvements in service delivery can be made o Assess changes in stakeholder satisfaction as a result of those improvements • All publications of data would be provided in a technical report or journal article • The information from the survey will also be briefed in the Federal Air Surgeon’s Medical Bulletin • It is anticipated that the information collected will be disseminated to the public or used to support publicly disseminated information. As explained in the preceding paragraphs, the information gathered has utility. The Office of Aerospace Medicine will retain control over the information and safeguard it from improper access, modification, and destruction, consistent with OAM standards for privacy of information. See response to Question 10 of this Supporting Statement for more information on the OAM guarantee of privacy. Prior to dissemination, the information will be subjected to quality control measures and a pre-dissemination review pursuant to Section 515 of Public Law 106-554.
Authorizing Statute(s):
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
84 FR 1265
02/01/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 16929
04/23/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Survey of Airman Satisfaction with Aeromedical Certification Services
2120-0707
FAA Aerospace Medical Certification Services Pilot Satisfaction Survey
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
2,323
2,333
0
0
-10
0
Annual Time Burden (Hours)
581
584
0
0
-3
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
• The reason for administering the survey is to capture trend data and use feedback to improve organizational operations. • The population of interest has been updated since the last administration and is reflected in the burden estimate and number of respondents.
Annual Cost to Federal Government:
$33,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Jamie Barrett 405 954-1199
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
05/07/2019
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