Criteria for Internet Communications of Aviation Weather, Notam, and Aeronautical Data

Qualified Internet Communications Provider (QICP) Application

If submitting via regular mail and more space is needed for any block, continue on blank sheet of paper; write the block number before each answer. Send the complete application with attachments to: Federal Aviation Administration, Weather Policy and Requirements (ANG-C6), 800 Independence Avenue, SW, Washington, DC 20591; if submitted electronically, please follow the instructions on the website.		Control Number (leave blank) 2120-0672 Expires 11/30/2011
1. Vendor (name/address)      		2. Point of Contact (name/telephone number/e-mail address)      
3. Service Description: a. Intended user(s) or user class(es), estimated number of users in each user class:       b. Server architecture (i.e., hardware, software)       c. Network management software       d. Server digital certificate technology       e. User authentication (optional)       f. Retrievable archive of web server log files and transaction date (optional)       g. Identification of product approval status (optional)      
4. Security Plan (describe plan to prevent unauthorized access to or modification of data or facility) a. Vulnerability assessments       b. Risk assessments       c. Security tests       d. Disaster recovery and contingency measures      
5. Capability Demonstration Plan (describes process to enable user to demonstrate the QICP criteria and (optionally) the Recommended Practices are met) a. Primary points of contact for the demonstration       b. Period of time, including starting and completion dates       c. Performance statistics to be collected during the demonstration       d. Proposed reporting format      
6. Ongoing Maintenance Plan (describes process to enable the provider to ensure continued compliance with criteria) a. Name and titles of responsible personnel (attach resumes), with description of duties and responsibilities       b. System maintenance procedures      
7. Quality Assurance Plan (describes the process to collect and maintain performance statistics for QICP criteria)      
8. QICP Quality of Service Agreement      
9. Warning Label      
10. Certification of Responsible Official: I certify that the information above is true to the best of my knowledge a. Name:       b. Title:       c. Telephone number:       d. Email address:      	e. Signature: f. Date:      

11. Please use this section for any additional information you need to include with this application

     

PAPERWORK REDUCTION ACT STATEMENT QICP application information is collected to enable the Federal Aviation Administration to determine whether to approve applicants as qualified to provide aviation weather, Notice to Airmen (NOTAM), and aeronautical data via the Internet. The reporting burden for each QICP is estimated to average 568 hours during the initial year and 274 hours each subsequent year. Information submission is totally voluntary; however, failure to provide the information may result in the denial of QICP status. An agency may not conduct or sponsor and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number. The OMB control number of AC-62 is 2120-0672.

November 14, 2011 Version 0.12-Mod