PRIVACY ACT STATRMRNT
<P>**** Hidden Message *****</P> PRIVACY ACT STATEMENT: This statement is provided pursuant to the Privacy Act of 1974, 5 USC夸552a<BR>The authority for collecting this information is contained in 49 U.S.C. '' 40113, 44702, 44703, 44709 and 14 C.F.R. Part 6 5. The principal purpose for which the information is<BR>intended to be used is to identi斤and evaluate your qualifications and eligibility for the issuance of an airman certificate and/or rating. Submission of the data is mandatory, except<BR>for the Social Security Number, which is voluntary. Failure to provide all required information will result in our being unable to issue you a certificate and/or rating. The informa-<BR>tion collected on this form will be included in a Privacy Act System of Records known as DOT/FAA 847, titled "Aviation Records on Individuals" and will be subject to the rou-<BR>tine uses published in the System of Records Notice (SORN) for DOT/FAA 847 (see <A href="http://www.dot.gov/privacy/privacyactnotices">www.dot.gov/privacy/privacyactnotices</A>), including<BR>(a) Providing basic airmen certification and qualification information to the public upon request; examples of basic information include<BR>·The type of certificates and ratings held, limitations, date of issuance and certificate number<BR>.The status of the airman's certificate (i.e，whether it is current or has been amended, modified, suspended or revoked for any reason)<BR>·The airman's home address, unless requested by the airman to be withheld from public disclosure per 49 U.S.C. 44703(c)<BR>.Information relating to an airman's physical status or condition used to determine statistically the validity of FAA medical standards; and the date, class, and restrictions of the<BR>latest p饰sical<BR>.Information relating to an individual's eligibility for medical certification, requests for exemption from medical requirements, and requests for review of certificate denials<BR>(b) Using contact information to inform airmen of meetings and seminars conducted by the FAA regarding aviation safety<BR>(c) Disclosing information to the National Transportation Safety Board (NTSB) in connection with its investigation responsibilities<BR>(d) Providing information about airmen to Federal, State, local and tribal law enforcement agencies when engaged in an official investigation in which an airman is involved<BR>(e) Providing information about enforcement actions, or orders issued thereunder, to Federal agencies, the aviation industry, and the public upon request<BR>(均Making records of delinquent civil penalties owed to the FAA available to the U.S. Department of the Treasury and the U.S. Department of Justice (DO刀for collection pursu-<BR>antto 31 U.S.C.3711(g)<BR>(g) Making records of effective orders against the certificates of airmen available to their employers if the airmen use the affected certificates to perform job responsibilities for<BR>those employers<BR>(h) Making airmen records available to users of FAA's Safety Performance Analysis System (SPAS), including the Department of Defense Commercial Airlift Division's Air Car-<BR>rier Analysis Support System (ACAS) for its use in identi斤ing safety hazards and risk areas, targeting inspection efforts for certificate holders of greatest risk, and monitoring the<BR>effectiveness of targeted oversight actions<BR>(i) Making records of an individual's positive drug test result, alcohol test result of 0.04 or greater breath alcohol concentration, or refusal to submit to testing required under a<BR>DOT-required testing program, available to third parties, including current and prospective employers of such individuals. Such records also contain the names and titles of indi-<BR>viduals who, in their commercial capacity, administer the drug and alcohol testing programs of aviation entities<BR>(j) Providing information about airmen through the Civil Aviation Registry's Comprehensive Airmen Information System to the Department of Health and Human Services, Office<BR>of Child Support Enforcement, and the Federal Parent Locator Service that locates noncustodial parents who owe child support. Records in this system are used to identi斤airmen<BR>to the child support agencies nationwide in enforcing child support obligations, establishing paternity, establishing and modi斤ing support orders and location of obligors. Records<BR>listed within the section on Categories of Records are retrieved using Connect: Direct through the Social Security Administration's secure environment<BR>(k) Making personally identifiable information about airmen available to other Federal agencies for the purpose of veri斤ing the accuracy and completeness of medical information<BR>provided to FAA in connection with applications for airmen medical certification<BR>(1) Making records of past airman medical certification history data available to Aviation Medical Examiners (AMEs) on a routine basis so that AMEs may render the best medical<BR>certification decision<BR>(m) Making airman, aircraft and operator record elements available to users of FAA's Skywatch system, including the Department of Defense (DoD), the Department of Homeland<BR>Security (DHS), DOJ and other authorized Federal agencies, for their use in managing, tracking and reporting aviation-related security events<BR>(n) Other possible routine uses published in the Federal Register (see Prefatory Statement of General Routine Uses for additional uses (65 F.R. 19477-78) For example, a record from<BR>this system of records may be disclosed to the United States Coast Guard (Coast Guard) and to the Transportation Security Administration (TSA) if information from this system<BR>was shared with either agency when that agency was a component of the Department of Transportation (DOT) before its transfer to DHS and such disclosure is necessary to<BR>accomplish a DOT, TSA or Coast Guard function related to this system of records<BR> PRIVACY ACT STATRMRNT
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