Information Collection

No Wrong Door Complaint Form

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

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

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 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

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.