Information Collection

Passenger Facility Charge (PFC) Application

IC 41853 under ICR 199709-2120-004 · OMB 2120-0557.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0557 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Passenger Facility Charge (PFC) Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FAA-FORM-5500-1				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 450	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,850	2,100	750
Annual IC Time Burden (Hours)	26,742	22,942	3,800
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.