Web-based form for a pilot or operator to report an aviation incident.

Forms and Documents

Document Name	Status
LINK re ACAS 2.pdf Supplementary Document	2017-03-28
LINK re damage to helicopter tail.pdf Supplementary Document	2017-02-06
LINK re UAS guidance.pdf Supplementary Document	2017-02-06
LINK re air carriers operating at a public use airport.pdf Supplementary Document	2017-02-06
LINK re ACAS 1.pdf Supplementary Document	2017-03-28
LINK re complete loss of information.pdf Supplementary Document	2017-02-06
LINK re release of all or a portion of a propellor blade.pdf Supplementary Document	2017-02-06
LINK re large multiengine aircraft.pdf Supplementary Document	2017-02-06
LINK re damage to property other than the aircraft.pdf Supplementary Document	2017-02-06
LINK re aircraft collision in flight.pdf Supplementary Document	2017-02-06
LINK re in flight fire.pdf Supplementary Document	2017-02-06
LINK re crew incapacitation.pdf Supplementary Document	2017-02-06
LINK re failure of engine component.pdf Supplementary Document	2017-02-06
LINK re flight control system malfunction or failure.pdf Supplementary Document	2017-02-06
LINK re 49 CFR 830.5 reporting requirement.pdf Supplementary Document	2017-02-06
LINK re 49 CFR 830.2 definitions.pdf Supplementary Document	2017-02-06
LINK re 5 CFR 1320.5 OMB control number requirement.pdf Supplementary Document	2017-02-06
Supporting Statement B.docx Supporting Statement B	2017-02-06
Supporting Statement A.docx Supporting Statement A	2017-02-06
Front page.pdf Supplementary Document	2017-02-06

IC Document Collections

IC ID	Document Title	Status
225568	Web-based form for aviation incident reporting	New

ICR Details

OMB Control No: 3147-0027	ICR Reference No: 201702-3147-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NTSB	Agency Tracking No:
Title: Web-based form for a pilot or operator to report an aviation incident.
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/22/2017
	Date Received in OIRA: 02/06/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved
Responses	50	0	0
Time Burden (Hours)	8	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This web-based form allows pilots or operators to notify the NTSB of the aviation incidents listed in 49 C.F.R. 830.5.

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Authorizing Statute(s): US Code: 49 USC 1132(b) Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 38751	07/07/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 72620	10/20/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Web-based form for aviation incident reporting

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	50	0	0	50	0	0
Annual Time Burden (Hours)	8	0	0	8	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This information collection provides a method for individuals or entities that must report aviation incidents listed in 49 CFR 830.5 using an online submission form, instead of calling the NTSB Response Operations Center. Reporting an incident online is voluntary. Respondents may continue to report an incident by calling the NTSB.

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Annual Cost to Federal Government: $2,769

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/06/2017

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