Malfunction or Defect Report

Forms and Documents

Document Name	Status
Form 8010-4 Malfunction or Defect Report Form	Modified
2120-0003 2015.doc Supporting Statement A	2015-10-20

IC Document Collections

IC ID	Document Title	Status
25475	Malfunction or Defect Report Form	Modified

ICR Details

OMB Control No: 2120-0003	ICR Reference No: 201411-2120-013
Status: Historical Active	Previous ICR Reference No: 201108-2120-005
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: Malfunction or Defect Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/04/2015
	Date Received in OIRA: 11/28/2014
Terms of Clearance: This collection has been approved for a period of 17 months. For future submissions, the agency may consider consolidating this collection with OMB Control No. 2120-0663. Before resubmission, the agency will combine the paper versions of this collection and OMB Control No. 2120-0663 into a single form. The agency will also provide a report on the progress to update their online collection platform.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2017	36 Months From Approved	11/30/2015
Responses	600	0	60,000
Time Burden (Hours)	90	0	9,000
Cost Burden (Dollars)	0	0	0

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Abstract: This information allows the FAA to evaluate its certification standards, maintenance programs, and regulatory requirements. It is also the basis for issuance of Airworthiness Directives designed to prevent unsafe conditions and accidents.

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Authorizing Statute(s): US Code: 49 USC 44702 Name of Law: Issuance of certificates
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 52406	09/03/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 66026	11/06/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Malfunction or Defect Report	8010-4	Malfunction or Defect Report

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	600	60,000	0	-59,400	0	0
Annual Time Burden (Hours)	90	9,000	0	-8,910	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The majority of the burden for this collection has been transferred to the active information collection Service Difficulty Reports (OMB #2120-0663). This submission represents the use of the alternative Malfunction or Defect Report form by Part 135, Part 145 and General Aviation users.

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Annual Cost to Federal Government: $100,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/28/2014

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