OMB
.report
Search
Aviation Safety Counselor of the Year Award
General Aviation Awards Program
OMB: 2120-0574
IC ID: 25654
OMB.report
DOT/FAA
OMB 2120-0574
ICR 201108-2120-008
IC 25654
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0574 can be found here:
2014-11-26 - Extension without change of a currently approved collection
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
View Information Collection (IC)
IC Title:
Aviation Safety Counselor of the Year Award
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Federal Enterprise Architecture Business Reference Module
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
150
0
0
0
0
150
Annual IC Time Burden (Hours)
150
0
0
0
0
150
Annual IC Cost Burden (Dollars)
0
0
0
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.