Information Collection

ATC Authorization Request

IC 222432 under ICR 201702-2120-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Airspace Authorization - form and instructions 2-10-17.pdf	Other-Web Portal
Waiver request application.pdf	Other-Web Portal
Waiver application instructions.pdf	Instruction

IC Title:

ATC Authorization Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	Airspace Authorization - form and instructions 2-10-17.pdf	TBD	Yes	Yes	Fillable Fileable
Other-Web Portal	Waiver request application.pdf	TBD	Yes	Yes	Fillable Fileable
Instruction	Waiver application instructions.pdf	TBD	Yes	No	Fillable Printable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 19,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	19,000	18,990	10
Annual IC Time Burden (Hours)	9,500	9,495	5
Annual IC Cost Burden (Dollars)	0	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.