U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 8710-1, Airman Certificate
and/or Rating Application
Supplemental Information and Instructions
Paperwork Reduction Act Statement:
The information collected on this form is necessary to determine applicant eligibility for airman ratings. We estimate it
will take 15 minutes to complete this form. The information collected is required to obtain a benefit and becomes part of
the Privacy Act system of records DOT/FAA 847, General Air Transportation Records on Individuals. Please note 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 2120-0021.
Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the
FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ABA-20.
Privacy Act
The information on the accompanying form is solicited under authority of Title 14 of the Code of Federal Regulations
(14 CFR), Part 61. The purpose of this data is to be used to identify and evaluate your qualifications and eligibility for
the issuance of an airman certificate and/or rating. Submission of all requested data is mandatory, except for the Social
Security Number (SSN) which is voluntary. Failure to provide all the required information would result in you not
being issued a certificate and/or rating. The information would become part of the Privacy Act system of records
DOT/FAA 847, General Air Transportation Records on Individuals. The information collected on this form would be
subject to the published routine uses of DOT/FAA 847. Those routine uses are: (a) To provide basic airmen
certification and qualification information to the public upon request. (b) To disclose information to the national
Transportation Safety Board (NTSB) in connection with its investigation responsibilities. (c) To provide information
about airmen to Federal, state, and local law enforcement agencies when engaged in the investigation and
apprehension of drug violators. (d) To provide information about enforcement actions arising out of violations of the
Federal Aviation regulations to government agencies, the aviation industry, and the public upon request. (e) To
disclose information to another Federal agency, or to a court or an administrative tribunal, when the Government or
one of its agencies is a party to a judicial proceeding before the court or involved in administrative proceedings before
the tribunal.
Submission of your Social Security Number is voluntary. Disclosure of your SSN will facilitate maintenance of your
records which are maintained in alphabetical order and cross-referenced with your SSN and airman certificate number
to provide prompt access. In the event of nondisclosure, a unique number will be assigned to your file.
See Privacy Act Information above. Detach this part before submitting form.
Instructions for completing this form (FAA 8710-1) are on the reverse.
If an electronic form is not printed on a duplex printer, the applicant's name, date of birth, and certificate number
(if applicable) must be furnished on the reverse side of the application. This information is required for identification
purposes. The telephone number and E-mail address are optional.
Tear off this cover sheet before submitting this form.
FAA Form 8710-1 (4-00) Supersedes Previous Edition
NSN: 0052-00-682-5007