Information Collection

Pilot/Operator Aircraft Accident/Incident Report

IC 33094 under ICR 201311-3147-001 · OMB 3147-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3147-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 6120.1 Pilot/Operator Aircraft Accident/Incident Report	Form
6120.1 Pilot/Operator Aircraft Accident/Incident Report 6120_1_printonly.pdf ntsb.gov/aviation/6120_1_fillable_savable.pdf	Form

IC Title:

Pilot/Operator Aircraft Accident/Incident Report

Agency IC Tracking Number:

6120.1

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	6120.1	Pilot/Operator Aircraft Accident/Incident Report	6120_1_printonly.pdf	http://ntsb.gov/aviation/6120_1_fillable_savable.pdf	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-2,200	2,200
Annual IC Time Burden (Hours)	-2,200	2,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.