Form 1800-31 Airport Security Survey

Paperwork Reduction Act Burden Statement: 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 2120-0067. Public reporting for this collection of information is estimated to be approximately 90 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ASP-110.

U.S. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION AIRPORT ACTIVITY SURVEY (By Selected Operators)						FORM APPROVED OMB NO. 2120-0067 Exp. 2/28/2014
TWELVE-MONTH PERIOD COVERED January 1 through December 31, 2013						FOR FAA USE ONLY
DO NOT REPORT ACTIVITY PREVIOUSLY SUBMITTED to U.S. DOT on T-100 Form Operator Name and Address
						Year
						Month
						AIR TAXI/COMMERCIAL CERTIFICATE NUMBER
						Page of Pages
OPERATIONS DURING 12-MONTH PERIOD COVERED
DEPARTURE AIRPORT						ENPLANEMENTS
CITY			STATE	AIRPORT NAME	FAA Airport Location Identifier (LOCID)	NUMBER OF SCHEDULED ENPLANEMENTS (See Instructions)	NUMBER OF NONSCHEDULED ENPLANEMENTS (See Instructions)
I certify, under penalty of perjury, that the information provided in this Airport Activity Survey (Form 1800-31) is true and correct to the best of my knowledge, information and belief.
DATE		TYPED NAME AND TITLE OF PREPARING OFFICIAL			SIGNATURE

FAA Form 1800-31 (1-14) SUPERSEDES PREVIOUS EDITION