Airman Certificate And/or Rating Application - Privacy Act printable pdf download

Airman Certificate And/or Rating Application - Privacy Act

U.S. Department of Transportation

SUPPLEMENTAL

TEAR OFF

Federal Aviation Administration

INFORMATION

BEFORE USE

AIRMAN CERTIFICATE AND/OR RATING APPLICATION - PRIVACY ACT

This supplements the form appearing below, Airman Certificate and/or Rating Application.

The information on the form is solicited under authority of Federal Aviation Regulations, Part 65.

Submission of all the data is mandatory except for Social Security Account Number which Is voluntary.

The purpose of this information is to establish eligibility for certification and/or airman rating.

The data will be used to identify and evaluate your qualifications and eligibility for the issuance of an airman

certificate and/or rating.

Certification cannot be completed unless the data is complete.

Disclosure of your Social Security Account Number is optional: Disclosure will facilitate maintenance of your

records which are maintained in alphabetical order and cross referenced with your SSAN and airman number to

provide prompt access. In the event of nondisclosure a unique number will be assigned to your file.

Paperwork Reduction Act Statement: The information collected on this form is necessary to ensure applicant eligibility. The information is used to

determine that the applicant meets the necessary qualifications as a Mechanic, Repairman, or Parachute Rigger. We estimate that it will take

approximately 20 minutes to complete the form. The information collection is required to obtain a benefit. The information collected becomes part of

the Privacy Act system of records DOT/FAA 847, Aviation Records on Individuals. Please not that an agency may not conduct or sponsor, and a

person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number

associated with this collection is 2120-0022.

FAA Form 8610-2

Electronic Version (Adobe)

(2-85)

Airman Certificate And/or Rating Application - Privacy Act