Report Permanent Disqualification

Anti-Drug Program for Personnel Engaged in Specified Aviation Activities

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0535 can be found here:

Documents and Forms

Document Name Document Type
14 CFR Part 120.doc www.ecfr.gov/cgi-bin/text-idx?c=ecfr;sid=672cbc116db94a0f7e8e8c62d998e1d8;rgn=div2;view=text;node=20090514:1.38;idno=14;c Instruction

Information Collection (IC) Details

IC Title:	Report Permanent Disqualification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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.doc	http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr;sid=672cbc116db94a0f7e8e8c62d998e1d8;rgn=div2;view=text;node=20090514:1.38;idno=14;cc=ecfr;start=1;size=25	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1	-313,741	313,742
Annual IC Time Burden (Hours)	1	-22,901	22,902
Annual IC Cost Burden (Dollars)	0	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.