Information Collection

On-Line Complaint Form for Service-Related Issues in Air Transportation

IC 217910 under ICR 201508-2105-001 · OMB 2105-0568.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0568 can be found here:

Documents and Forms

Document Name Document Type
On-Line Complaint Form for Service-Related Issues in Air Transportation.txt airconsumer.dot.gov/escomplaint/ConsumerForm.cfm Other-Form Name and URL Information

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	On-Line Complaint Form for Service-Related Issues in Air Transportation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Form Name and URL Information			On-Line Complaint Form for Service-Related Issues in Air Transportation.txt	http://airconsumer.dot.gov/escomplaint/ConsumerForm.cfm	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title: DOT/OST 102 - Aviation Consumer Complaint Application Online System (CCA)	FR Citation: 70 FR 9436

Number of Respondents: 17,308	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 84 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	17,308	17,308
Annual IC Time Burden (Hours)	4,327	4,327
Annual IC Cost Burden (Dollars)	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.