Information Collection

ATC Authorization Request

IC 222432 under ICR 201607-2120-001 · OMB 2120-0768.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0768 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ATC Authorization Portal Screen Shot.doc	Other-Web Portal
Airspace Authorizatns screen print 7-22-16.doc	Other-Screen Shot
ATC PRA screenshot 81216.doc	Other-System Screen shot

IC Title:

ATC Authorization Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 107.41

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web Portal	ATC Authorization Portal Screen Shot.doc	TBD	Yes	Yes	Fillable Fileable Signable
Other-Screen Shot	Airspace Authorizatns screen print 7-22-16.doc		Yes	Yes	Fillable Fileable Signable
Other-System Screen shot	ATC PRA screenshot 81216.doc		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	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.