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Airports Grants Program
Airports Grants Program
OMB: 2120-0569
IC ID: 25641
OMB.report
DOT/FAA
OMB 2120-0569
ICR 201604-2120-003
IC 25641
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0569 can be found here:
2023-06-15 - Revision of a currently approved collection
2019-06-25 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5100-129
Airports Grants Program
Form
5100-100 Application for Federal Assistance (Construction Program
5100-100_PRA.pdf
forms.faa.gov/redirect.asp?fnumber=5100-100&url=forms/faa5100-100.pdf&hit=236
Form
5100-101 Application for Federal Assistance (Attachment to SF-424
5100-101_PRA.pdf
forms.faa.gov/redirect.asp?fnumber=5100-101&url=forms/FAA5100-101.pdf&hit=158
Form
5100-108 All-Cargo Carrier Activity Report
5100-108_PRA.pdf
forms.faa.gov/redirect.asp?fnumber=5100-108&url=forms/faa5100-108.pdf&hit=8
Form
5100-126 Financial Governmental Payment Report
5100-126_PRA.pdf
forms.faa.gov/redirect.asp?fnumber=5100-126&url=forms/faa5100-126.pdf&hit=106
Form
5370-1 Construction Progress and Inspection Report
5370-1_PRA.pdf
forms.faa.gov/redirect.asp?fnumber=5370-1&url=forms/faa5370-1a.pdf&hit=503
Form
5100-127 Operating and Financial Summary
5100-127_PRA.pdf
forms.faa.gov/redirect.asp?fnumber=5100-127&url=forms/faa5100-127.pdf
Form
5100-110 Request for FAA Approval of Agreement for Transfer of En
FAA Form 5100-110 Entitlement Transfer - PRA.docx
Form
5100-128 Agreement on State Sponsorship and Airport Sponsor Oblig
FAA Form 5100-128 State Sponsorship-PRA.docx
Form
5100-129 Construction Project Final Acceptance-Airport Improvemen
FAA Form 5100-129 Sponsor Cert - Final Project-PRA.docx
Form
5100-130 Drug Free Workplace-Airport Improvement Program Sponsor
FAA Form 5100-130 Sponsor Cert - Drug Free-PRA.docx
Form
5100-131 Equipment and Construction Contracts-Airport Improvement
FAA Form 5100-131 Sponsor Cert - Equip Constr-PRA.docx
Form
5100-132 Project Plans and Specifications-Airport Improvement Pro
FAA Form 5100-132 Sponsor Cert - Plans Specs-PRA.docx
Form
5100-133 Real Property Acquisition-Airport Improvement Program Sp
FAA Form 5100-133 Sponsor Cert - Land-PRA.docx
Form
5100-134 Selection of Consultants-Airport Improvement Program Spo
FAA Form 5100-134 Sponsor Cert - Consultant-PRA.docx
Form
5100-135 Certification and Disclosure regarding Potential Conflic
FAA Form 5100-135 Conflict of Interest Certification-PRA.docx
Form
5100-136 Buy American Content Percentage Calculation Worksheet
FAA Form 5100-136 Buy American Calculation Worksheet-PRA.docx
Form
5100-137 Buy American Preferences-Final Assembly Questionnaire
FAA Form 5100-137 Buy American Questionnaire-PRA.docx
Form
5100-138 Data Requirements for an Office of Airports Automated We
FAA Form 5100-138 AWOS BCA-PRA.docx
Form
5100-139 LOI Application Financial Template
Copy of FAA Form 5100-139 LOI Application Financial Template.xlsx
Form
5100-140 Performance Report
FAA Form 5100-140 Perfomance Report-PRA.docx
Form
5100-141 Inventory of Snow Removal Equipment
FAA Form 5100-141 Compliance Inventory of SRE-PRA.docx
Form
5100-142 Sponsor Request for FAA Acknowledgment for Cold Weather
FAA Form 5100-142 Cold Weather Request-PRA.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Airports Grants Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
49 CFR 18
2 CFR 200
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
5100-129
Construction Project Final Acceptance-Airport Improvement Program Sponsor Certification
FAA Form 5100-129 Sponsor Cert - Final Project-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-130
Drug Free Workplace-Airport Improvement Program Sponsor Certification
FAA Form 5100-130 Sponsor Cert - Drug Free-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-131
Equipment and Construction Contracts-Airport Improvement Program Sponsor Certification
FAA Form 5100-131 Sponsor Cert - Equip Constr-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-132
Project Plans and Specifications-Airport Improvement Program Sponsor Certification
FAA Form 5100-132 Sponsor Cert - Plans Specs-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-133
Real Property Acquisition-Airport Improvement Program Sponsor Certification
FAA Form 5100-133 Sponsor Cert - Land-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-134
Selection of Consultants-Airport Improvement Program Sponsor Certification
FAA Form 5100-134 Sponsor Cert - Consultant-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-135
Certification and Disclosure regarding Potential Conflicts of Interest-Airport Improvement Program Sponsor Certification
FAA Form 5100-135 Conflict of Interest Certification-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-136
Buy American Content Percentage Calculation Worksheet
FAA Form 5100-136 Buy American Calculation Worksheet-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-137
Buy American Preferences-Final Assembly Questionnaire
FAA Form 5100-137 Buy American Questionnaire-PRA.docx
TBD
Yes
Yes
Fillable Fileable
Form
5100-138
Data Requirements for an Office of Airports Automated Weather Observation System (AWOS) Benefit Cost Analysis (BCA)
FAA Form 5100-138 AWOS BCA-PRA.docx
TBD
Yes
Yes
Fillable Fileable
Form
5100-139
LOI Application Financial Template
Copy of FAA Form 5100-139 LOI Application Financial Template.xlsx
TBD
Yes
Yes
Fillable Fileable
Form
5100-140
Performance Report
FAA Form 5100-140 Perfomance Report-PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-141
Inventory of Snow Removal Equipment
FAA Form 5100-141 Compliance Inventory of SRE-PRA.docx
TBD
Yes
Yes
Fillable Fileable
Form
5100-142
Sponsor Request for FAA Acknowledgment for Cold Weather Early Start
FAA Form 5100-142 Cold Weather Request-PRA.docx
TBD
Yes
Yes
Fillable Fileable
Form
5100-100
Application for Federal Assistance (Construction Program)
5100-100_PRA.pdf
http://forms.faa.gov/redirect.asp?fnumber=5100-100&url=forms/faa5100-100.pdf&hit=236
Yes
Yes
Fillable Fileable
Form
5100-101
Application for Federal Assistance (Attachment to SF-424)
5100-101_PRA.pdf
http://forms.faa.gov/redirect.asp?fnumber=5100-101&url=forms/FAA5100-101.pdf&hit=158
Yes
Yes
Fillable Fileable
Form
5100-108
All-Cargo Carrier Activity Report
5100-108_PRA.pdf
http://forms.faa.gov/redirect.asp?fnumber=5100-108&url=forms/faa5100-108.pdf&hit=8
Yes
Yes
Fillable Fileable
Form
5100-126
Financial Governmental Payment Report
5100-126_PRA.pdf
http://forms.faa.gov/redirect.asp?fnumber=5100-126&url=forms/faa5100-126.pdf&hit=106
Yes
Yes
Fillable Fileable
Form
5370-1
Construction Progress and Inspection Report
5370-1_PRA.pdf
http://forms.faa.gov/redirect.asp?fnumber=5370-1&url=forms/faa5370-1a.pdf&hit=503
Yes
Yes
Fillable Fileable
Form
5100-127
Operating and Financial Summary
5100-127_PRA.pdf
http://forms.faa.gov/redirect.asp?fnumber=5100-127&url=forms/faa5100-127.pdf
Yes
Yes
Fillable Fileable
Form
5100-110
Request for FAA Approval of Agreement for Transfer of Entitlements
FAA Form 5100-110 Entitlement Transfer - PRA.docx
Yes
Yes
Fillable Fileable
Form
5100-128
Agreement on State Sponsorship and Airport Sponsor Obligations-Airport Improvement Program
FAA Form 5100-128 State Sponsorship-PRA.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Air Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,232
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
12,928
0
3,743
0
0
9,185
Annual IC Time Burden (Hours)
117,699
0
37,130
0
0
80,569
Annual IC Cost Burden (Dollars)
0
0
0
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.