Aviation Safety Counselor of the Year Award

General Aviation Awards Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0574 can be found here:

Documents and Forms

Document Name Document Type
Form 2120-0574 Aviation Safety Counselor of the Year Award Form
2120-0574 General Aviation Awards Program Application Form General Aviation Awards Program Application.pdf www.faa.gov/safety/awards/general%5Fav/media/ga_awards_application.pdf Form

Information Collection (IC) Details

IC Title:	Aviation Safety Counselor of the Year Award	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2120-0574	General Aviation Awards Program Application Form	General Aviation Awards Program Application.pdf	http://www.faa.gov/safety/awards/general%5Fav/media/ga_awards_application.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 2 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	-30	180
Annual IC Time Burden (Hours)	150	-30	180
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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