Information Collection

Malfunction or Defect Report

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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8010-4 Malfunction or Defect Report Malfunction or Defect Report	Form
8010-4 Malfunction or Defect Report 8010-4_PRA revised.pdf forms.faa.gov/forms/faa8010-4.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	8010-4			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 %

table that charts list of burden
	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

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.

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