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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.