View Information Collection Request (ICR) Package

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: 2120-0543	ICR Reference No: 202006-2120-006
Status: Historical Active	Previous ICR Reference No: 201804-2120-001
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: Pilots Convicted of Alcohol or Drug-Related Motor Vehicle Offenses or Subject to State Motor Vehicle Administrative Procedure
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 with change	Conclusion Date: 03/03/2021
	Date Received in OIRA: 09/29/2020
Terms of Clearance: The agency made substantial revisions to the instruments for improved clarity, including eliminating the paper PDF due to the electronic modality now available. Agency also made minor edits to the supporting statement for improved clarity.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2024	36 Months From Approved	03/31/2021
Responses	862	0	937
Time Burden (Hours)	431	0	156
Cost Burden (Dollars)	862	0	2,811

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	862	937	-75
Annual Time Burden (Hours)	431	156	275
Annual Cost Burden (Dollars)	862	2,811	-1,949

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: Reports generated over the last three years shows the number of letters are declining. No reasoning can be explained.

Annual Cost to Federal Government: $257,151

Does this IC contain surveys, censuses, or employ statistical methods? No

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. Yes

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? No

Agency Contact: Christopher Marks 405 954-2789

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