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Home > Programs > Airline
Data and Statistics > Forms

Form 41, Schedule T-100(f) - Foreign Air Carrier Traffic Data by
Nonstop Segment and On-Flight Market

OMB No: 2138-0040, Expiration Date: 7/31/2008

Excel

Paperwork Reduction Act Burden Statement
A
federal agency may not conduct or sponsor, and a person is not
required to respond to, nor shall a person be subject to a penalty
for failure to comply with a collection of information subject to
the requirements of the Paperwork Reduction Act unless that
collection of information displays a current valid OMB Control
Number. The OMB Control Number for this information collection is
2138-0040. Public reporting for Schedule T-100(f) Report of Traffic
and Capacity, is estimated to be approximately 2 hours per response,
including the time for reviewing instructions, completing and
reviewing the collection of information. All responses to this
collection of information are mandatory. Detailed T-100 market and
segment containing foreign points are withheld from public release
for 6 months. Send comments regarding this burden estimate or any
other aspect of this collection of information, including
suggestions for reducing this burden to: Information Collection
Clearance Officer, Bernie Stankus, OAI/BTS/RITA, RTS-42, 1200 New
Jersey Avenue, SE, Washington, D.C. 20590 or e-mail – [email-masked].

A-1.Air Carrier
Name    _____________________ Code:    _____________________

A-2.Report Date
(Year) _____________________ (Month) _____________________

Line
No.

A-3
Airport
Code
ORIGIN

A-4
Airport
Code
DESTINATION

A-5
Service
Code*
Mark an (x)

B-1
Aircraft
Type
Code

B-2
Revenue
Aircraft
Departures

B-3
Revenue
Passengers
Transported

B-4
Revenue
Freight
Transported
(kg)

B-5
Available
Seats

B-6
Available
Capacity-
Payload
(kg)

C-1
Total
Revenue
Passengers
in
Market

C-2
Total
Revenue
Freight in Market (kg)

F

G

L

P

Q

---------BY
AIRCRAFT TYPE---------

SUM for all
AIRCRAFT TYPES

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

* Service Class Codes are:
F - Scheduled Passenger
/ Cargo G - Scheduled All-Cargo L - Nonscheduled Civilian Passenger
/ Cargo Charter P - Nonscheduled Civilian All-Cargo Charter Q - Used
only if authorized by DOT

BTS Form 41 for Schedule T-100(f)

FOREIGN AIR CARRIER CERTIFICATION

Carrier Name:

Address:

Homeland*:

Carrier Code:

Report Date (Year/Month):

Completed T-100(f) forms should be submitted to:
U.S.
Department of Transportation
BTS, K14, Room 4125
400
Seventh Street, SW
Washington, DC 20590-0001

I, the undersigned, do certify that this report has been prepared
under my direction in accordance with the regulations in 14 CFR Part
217. I affirm that, to the best of my knowledge and belief, this is
a true, correct and complete report.

Signature:

Date:

Name (Print or Type):

Title:

Telephone
Number:
Fax
Number:

Name of Person Who Prepared Report:
Telephone
Number:
Fax
Number:

* Homeland is the name of the country under the laws
of which air carrier organized.

BTS Form 41 Certification for Schedule T-100(f)

Research
and Innovative Technology Administration (RITA) • U.S.
Department of Transportation (US DOT)
1200 New Jersey Avenue,
SE • Washington, DC 20590 • 800-853-1351 • E-mail
RITA

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