This NTSB data
collection form is approved for one year by which time it should be
consolidated with NTSB 6120.1.
Inventory as of this Action
Requested
Previously Approved
09/30/1982
09/30/1982
09/30/1981
300
0
300
600
0
600
0
0
0
THIS FORM IS MADE PART OF THE OFFICIAL
NTSB FILE OF THE ACCIDENT, WHIC IS THE BOARD'S PUBLIC DOCKET. IT
FULLFILSS THE AIR CARRIERS' LEGAL REQUIREMENT FOR REPORTING, GIVES
THEM THE OPPORTUNITY TO STATE THE OFFICIAL REPORT OF THE ACCIDENT
AND FINALLY USED IN ACCIDENT CAUSE DETERMINATION AND ALSO AS A
BASIS FOR MAKING RECOMMENDATIONS TO PREVEN FUTURE SIMILAR
ACCIDENTS.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.