Information Collection

No Wrong Door Complaint Form

IC 223866 under ICR 201609-2105-001 · OMB 2105-0574.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Accessibility_Comp No Wrong Door Complaint Form	Form
Accessibility_Comp Accessibility_Complaint_Form Accessibility_Complaint_Form.JPG	Form

IC Title:

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	850	850
Annual IC Time Burden (Hours)	425	425
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.