Information Collection

Aviation Insurance

IC 25597 under ICR 201504-2120-004 · OMB 2120-0514.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0514 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0514 Invoice Calculation Worksheet.JPG	Other-Sample Data Screen
0514 Reconciliation Calculation Worksheet.jpg	Other-Sample Data Screen
0514 Fleet Addition - Aircraft.jpg	Other-Sample Data Screen
49 USC 443.doc uscode.house.gov/download/pls/49C443.txt	Instruction
2120-0514 Application for FAA Non-Premium War Risk Hull and Liabil Non-premium application.doc www.faa.gov/about/office_org/headquarters_offices/apl/aviation_insurance/cfaf_info/	Form and Instruction

IC Title:

Aviation Insurance

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Instruction			49 USC 443.doc	http://uscode.house.gov/download/pls/49C443.txt	Yes	No	Printable Only
Other-Sample Data Screen			0514 Invoice Calculation Worksheet.JPG		Yes	Yes	Fillable Fileable
Other-Sample Data Screen			0514 Reconciliation Calculation Worksheet.jpg		Yes	Yes	Fillable Fileable
Other-Sample Data Screen			0514 Fleet Addition - Aircraft.jpg		Yes	Yes	Fillable Fileable
Form and Instruction	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance	Non-premium application.doc	https://www.faa.gov/about/office_org/headquarters_offices/apl/aviation_insurance/cfaf_info/	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 61

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	154	93	61
Annual IC Time Burden (Hours)	616	0	616
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.