FAA-6790-5 Technical Performance Record - VHF Omnidirectional Range

Paperwork Reduction Act Statement: This form requires that sponsors complete the form on each scheduled visit to the facility and will contain a complete record of meter readings. 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 currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0014. Public reporting for this collection of information is estimated to be approximately 30 minutess per response, including the time for reviewing instructions, searching existing data resources, gathering and maintaining the data needed, completing and
reviewing the collection of information. All responses to this collection of information are mandatory under FAR Part 171. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden tothe FAA at: 800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.

Electronic Version (Adobe) OMB 2120-0014

02/28/2009

OMB Control #2120-0014
Exp. Date 4/30/2012