Faa Form 8060-13 - National Driver Register Records Request (Pria)

INSTRUCTIONS

FAA FORM 8060-13, NATIONAL DRIVER REGISTER RECORDS REQUEST (PRIA)

Pilot Records Improvement Act Of 1996 (PRIA)

Title 49 U.S.C § 44703(h), RECORDS OF EMPLOYMENT OF PILOT APPLICANTS, as amended

Air carriers should use this form

to request the appropri

ate records from the National Driver Registry

contemplated under 49 U.S.C. § 44 703(h). Complete Instructions for t he use of thi s form , as well as proced ural

information concerning the request of NDR records, are provided on the official PRIA website as listed below.

NOTICE

Request will not be deemed valid unless Parts I, II, and III are completed as specified below.

This form may be photocopied for use.

This form is available on the Internet at

A separate form must be used for each airman whose records are requested.

Use of the date of birth, social security number, or other information for which there may be a reasonable

expectation of privacy, is optional. However, use of this information, at the applicant’s discretion, could facilitate

the retrieval of the appropriate records required by this request IAW PRIA. (See the Privacy Act Statement)

Part I – National Driver Register (NDR) Records Request: To be completed by the hiring Air Carrier.

All entries must be completed legibly with black or dark blue ink.

The hiring air carrier enters their name and air carrier certificate number. Personal information concerning the applicant

is then entered into the respective spaces, with the date-of-birth and social security number being disclosed ONLY at the

discretion of the applicant. The air carrier must ensure that complete mailing instructions are included with this request.

Part II – Consent To The Release Of Records: To be completed by the applicant.

All entries must be completed legibly with black or dark blue ink.

The applicant must read and understand the statement, and then authorize the request and release of the appropriate NDR

records by signing and dating the form in the indicated spaces. A notarized signature MAY be required by the state.

Part III – Notice To The Prospective Employee.

The air carrier representative must ensure that the applicant is aware that a request for the appropriate NDR records will

be made IAW PRIA, and that a copy of the records, once received, will be furnished to the applicant if they so desire. A

legible copy of this form must be furnished to the applicant after being completed and signed. ID verification in III(a) is

to be completed by the air carrier representative when the application is made in person. ID verification in III(b) is to be

completed when the application is NOT made in person. The respective state MAY also require a notarized signature.

PAPERWORK REDUCTION ACT STATEMENT

Title 49 United States Code (49 U.S.C.) § 44703 (h), Records of Employment of Pilot Applicants, as amended, requires

all air carriers to request FAA records and Air Carrier and Other Records concerning an individual before allowing that

individual to begin service as a pilot. 49 U.S.C. § 44703 (h) (8) requires the FAA Administrator to promulgate standard

forms to request records. The information entered on the standard forms will be used to facilitate the search and retrieval

of the required records. It is estimated that the average burden per respondent associated with this collection of FAA

Records is 10 minutes. The requirement to collect and evaluate background information on the pilot, before allowing that

pilot to begin service, is mandatory; however, the use of this form is not, although it is highly recommended. An agency

may not conduct or sponsor, and a person is not required to respond to, this request for information unless a current and

valid OMB control number is prominently displayed. The OMB control number assigned to this collection is 2120-0607.

SEE PRIVACY ACT INFORMATION BELOW

FAA Form 8060-13 (10-05)

Faa Form 8060-13 - National Driver Register Records Request (Pria) - 2005