Information Collection

Malfunction or Defect Report

IC 25475 under ICR 201411-2120-013 · OMB 2120-0003.

Documents and Forms

Document Name Document Type
Form 8010-4 Malfunction or Defect Report Form
8010-4 Malfunction or Defect Report 8010-4_PRA revised.pdf forms.faa.gov/forms/faa8010-4.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Malfunction or Defect Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	8010-4	Malfunction or Defect Report	8010-4_PRA revised.pdf	http://forms.faa.gov/forms/faa8010-4.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	600	-59,400	60,000
Annual IC Time Burden (Hours)	90	-8,910	9,000
Annual IC Cost Burden (Dollars)	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.