Request for Equivalency Credit for Non-FTA Course/Training

Request for Equivalency Credit for Non-FTA Course/Training
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB
control number for this information collection is OMB No. 2132-0578. The information collection is authorized
pursuant to 49 U.S.C. § 5329(c)(1) and is required to obtain a benefit. The time required to complete the
Request for Equivalency Credit for Non-FTA Course/Training form is estimated to average 8 minutes per
response, including time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the collection of information. The information collected in this
form will be kept private to the extent provided by law. Names and other identifiers will not be made public.
Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden to FTASafetyPromotion@DOT.gov.
The Federal Transit Administration’s (FTA) Public Transportation Safety Certification Training Program
(PTSCTP) final rule (49 C.F.R. Part 672) provides participants with the opportunity to request credit for
coursework/training obtained through an entity other than FTA.
Note: A form must be completed for each course/training for which you are seeking equivalency credit.
STEP 1: COMPLETE THIS REQUEST FORM.
Fill out each section in full. An incomplete or incorrectly completed form may result in delayed evaluation.
The non-FTA course/training must meet or exceed FTA’s PTSCTP course objectives and training hours
requirements.
STEP 2: GATHER THE REQUIRED DOCUMENTATION.
Official documentation of coursework/training is required for FTA's evaluation of the request for equivalency
credit. Required documentation includes:
•
•
•

Copy of transcript and/or certificate of completion
Course/training description
List of course/training objectives

You may include other documentation that would help FTA in evaluating your request. (See section 3.)
STEP 3: SUBMIT THE COMPLETED FORM AND REQUIRED DOCUMENTATION.
Email the completed and signed form and the required documentation to
FTASafetyPromotion@dot.gov
FTA will evaluate your request and supporting documentation and will notify you of its decision within 60 days
of the receipt of your submission. If your request is denied, you will be provided with an explanation and the
recommended next steps.
If you have any questions, please email FTASafetyPromotion@dot.gov

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SECTION 1: GENERAL INFORMATION
Name: (Last, First, Middle Initial)

Job Title

Organization

Address

Email Address

Contact Number

SECTION 2: COURSE INFORMATION
Name of Non-FTA Course/Training

Name of Equivalent PTSCTP Course Offered by FTA

Course/Training Completion Date

Final Grade/Score (if applicable)

Organization Offering the Course

Is the Organization Accredited? (Y/N)

Course/Training Hours

Number of Continuing Education Credits (CEC)
(if applicable)

Course Objectives

Please provide a brief statement explaining how the course/training satisfies the applicable PTSCTP
requirements.

Public Transportation Safety Certification Training Program (PTSCTP)
Course/Training Equivalency Credit Form

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SECTION 3: REQUIRED DOCUMENTATION
Check the appropriate documents you are submitting.
Use “other” to notate other document(s) you are providing for consideration.
YES

NO

Course Schedule and/or Outline
Certificate of Completion
Copy of Transcript
Other

SECTION 4: SIGNATURE AND ACKNOWLEDGEMENT
I certify the information I have included on this form is accurate. I understand that I am requesting that the
FTA evaluate coursework/training completed through an entity other than FTA to determine whether credit
can be provided for an equivalent course/training required by the Public Transportation Safety Certification
Training Program.
Requestor’s Signature:

Date:

FOR OFFICE USE ONLY
Decision:

FTA Reviewer:

Justification:

Public Transportation Safety Certification Training Program (PTSCTP)
Course/Training Equivalency Credit Form

Date: