ATC Authorization Request

ATC Authorization in Controlled Airspace under Part 107

Airspace Authorizatns screen print 7-22-16

ATC Authorization Request

OMB: 2120-0768

Document [doc]
Download: doc | pdf

Question Mark Icons display the following when hovering over:

Icon number

Text Displayed Upon Hovering

Responsible Person Information

1

Name of the proponent

2

Organization of the proponent

3

Address of the proponent

4

Additional address of the proponent

5

City of the proponent

6

State of the proponent

7

Zip code of the proponent

8

Phone number of the proponent

9

Email of the proponent

Authorization Information

1

Whether there are any waiver(s) approved


Note: when the applicant selects “YES,” a box appears stating, “Please attach approved waiver(s):” adjacent to an “Attach File” button and a “Browse” button. Once attached successfully, a link to the document appears at the end of the form adjacent to a field heading titled “Support Documents.”

2

Detailed description of the proposed operation. Attach supplement if needed (after the draft saved).


Latitude and Longitude entry blocks display brief instructions upon clicking in each block (e.g., “Please enter a valid number between -10 and 73”)

3

Circle radius of the location in nautical miles (NM).

4

The nearest airport if available. This information will be populated by the system automatically.

5

Describe the altitude the UAS will operate (example: at or below 400ft AGL)

6

Beginning date and time

7

Ending date and time

Unmanned Aircraft and Pilot Information

1

Enter the aircraft type. Please include the make and model.

2

A valid registration number is required. TBD is not acceptable.

3

Name of the pilot/operator

4

Organization of the pilot/operator

5

Address of the pilot/operator

6

Additional address of the pilot/operator

7

City of the pilot/operator

8

State of the pilot/operator

9

Zip code of the pilot/operator

10

Phone number where air traffic control can reach the remote pilot/operator if necessary

11

Email address of the pilot/operator

12

Certificate number of the pilot/operator

13

Certificate rating of the pilot/operator


At the bottom of the form, once all necessary fields are complete, a green box stating “Valid” appears, as well as a blue button stating “Submit to FAA →”

Applicants will also have the following options at the end of the form:

“← Back”

“Update Draft”



File Typeapplication/msword
AuthorGardner, Scott (FAA)
Last Modified ByThompson, Ronda (FAA)
File Modified2016-08-02
File Created2016-08-02

© 2024 OMB.report | Privacy Policy