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No Wrong Door Complaint Form
No Wrong Door Complaint Form
OMB: 2105-0574
IC ID: 223866
OMB.report
DOT/OST
OMB 2105-0574
ICR 201609-2105-001
IC 223866
( )
Documents and Forms
Document Name
Document Type
Form Accessibility_Comp
No Wrong Door Complaint Form
Form
Accessibility_Comp Accessibility_Complaint_Form
Accessibility_Complaint_Form.JPG
www.secure.dot.gov/dot-ada-complaint-form
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
No Wrong Door Complaint Form
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
14 CFR 382
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
Accessibility_Complaint_Form
Accessibility_Complaint_Form
Accessibility_Complaint_Form.JPG
www.secure.dot.gov/dot-ada-complaint-form
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
79 FR 9436
Number of Respondents:
850
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
90 %
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
850
0
850
0
0
0
Annual IC Time Burden (Hours)
425
0
425
0
0
0
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.
