Information Collection

Initial/Additional Certificate or Commuter Authority (including fitness evidence)

IC 192539 under ICR 201004-2106-001 · OMB 2106-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2106-0023 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Initial/Additional Certificate or Commuter Authority (including fitness evidence)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 204 14 CFR 291 14 CFR 201

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 15 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	1,950	1,950
Annual IC Cost Burden (Dollars)	195,000	195,000

Documents for IC

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