Form 8610-6 IA Refresher Course Acceptance Request

FAA Form 8610-6, IA Refresher Course Acceptance Request
Supplemental Information
The supplemental information for this form includes the following:
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Paperwork Reduction Act Burden Statement
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Instructions for Completing FAA Form 8610-6
An electronic fillable version of FAA Form 8610-6 is available at www.faa.gov.

OMB CONTROL NUMBER: 2120-XXXX
EXPIRATION DATE: xx/xx/202x
Paperwork Reduction Act 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 a collection of information
subject to the requirements of the Paperwork Reduction Act unless that collection of information
displays a currently valid OMB Control Number. The OMB Control Number for this
information collection is 2120-XXXX. Public reporting for this collection of information is
estimated to be approximately 1 hour per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information.
All responses to this collection of information are required to obtain or retain a benefit under 14
CFR part 65. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to: Information
Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort
Worth, TX 76177-1524

Instructions: Use this form to submit Inspection Authorization (IA) refresher courses and
supporting information for acceptance. This form ensures you have submitted the necessary
documents for review. Submission of a properly completed FAA Form 8610-6 and the
corresponding TCO should be adequate to determine an IA refresher course’s acceptability.
Please complete all applicable sections for either initial or renewal as necessary for course
acceptance. Missing information will result in additional processing time.
Section A, Mark the Initial Request or Renewal block as applicable.
• Complete the requested self-explanatory info.
• Write a brief description of the course provider’s method for retaining the
student attendance, course completion and contact information for future FAA
reference. These records should be available for a period of three years.
Section B, Provide a good description of the course subject matter.
• Course Description
o Identify if the training is technical, regulatory or soft skills in nature.
o A description of how the course is designed e.g., single course or
modular.
FAA Form 8610-6 (06-21)

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FAA Form 8610-6, IA Refresher Course Acceptance Request
• Course Objective
o Briefly describe the student’s takeaway.
• Course Delivery Description
• Briefly describe how the course is delivered.
Section C, Description of Changes
• Check the “No Changes to Course” block if appropriate.
• Describe minor changes only in this section. If a course has significant changes,
complete the form as an initial course acceptance.
Note: Significant changes are defined in this AC.
Section D, Attachments
• Mark the Training Course Outline check box and ensure the TCO contains the
requested course information.
• The course should be based on at least one of the suggested course topics
identified in paragraph 7.2 of AC 65-35.
• Cite references to technical content or regulations, as applicable.
• Include presentation length and hours of training accredited for IA renewal.
• Insert TCO file name so it can be matched with attachment.
• If any attachments are added, list them under “Other Attachments”
Section E, Agreement
• If the Course Provider POC agrees to use AC 65-35 as a means of compliance
for § 65.93(a)(4), complete the signature block. Signatures can be done digitally
or signed and scanned.

Initial acceptance request: Complete Sections A, B, D, and E.
Renewal request: Complete Sections A, B, C, D, and E.

FAA Form 8610-6 (06-21)

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FAA Form 8610-6, IA Refresher Course Acceptance Request

Section A – General

☐ Initial Request
Date of Submittal:

☐ Renewal

Course Provider/Company Name:
Course Title:
Course Total Length (in hours):
IA Renewal Creditable Hours: (8 hours maximum)

POC Information
Name:

Address:
Phone:
Email:
Enter a description of the CP’s three year data retention process for training attendees:

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FAA Form 8610-6, IA Refresher Course Acceptance Request

Section B – Curriculum
Course Description:

Course Objective:

Course Delivery Description:

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FAA Form 8610-6, IA Refresher Course Acceptance Request

Section C – Description of Changes – (Renewal)
☐ No Changes to Course (check this box if there are no changes to the course)
If applicable, briefly describe any minor changes to the course. If there are no minor changes leave
this section blank.
Note: If there are significant changes, complete section B for an “initial” course submittal.

Section D – Attachments
Use the check boxes to indicate the attachments included in this submission.

☐ Training Course Outline (TCO) Attach a course outline showing the course curriculum
subject areas to be presented. The TCO is defined in AC 65-35 and should include:
• at least one of the suggested course topics identified in AC 65-35.
• reference to technical content or regulations, as applicable.
• course length and hours of training accredited for IA renewal.

Submitted TCO file name: (enter file name)
☐ Other Attachments (list other attachments, including file names)

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FAA Form 8610-6, IA Refresher Course Acceptance Request

Section E - Agreement
Agreement Statement:
I have read and agree to use the means of compliance as described in FAA Advisory Circular 6535(as revised) for the purpose of complying with § 65.93(a)(4).
I understand that an IA refresher course acceptance issued to me or my company constitutes an
agreement with the Federal Aviation Administration to conduct IA refresher training in accordance
with the means of compliance as described in AC 65-35 (as revised).
Signature:
Printed Name:
Title:
Date:
When completed, email it along with the TCO to 9-AFS-IARefresher@faa.gov.

FAA Form 8610-6 (06-21)

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