Pilot/Operator Aircraft Accident/Incident Report

Forms and Documents

Document Name	Status
Form NTSB 6120.1 NTSB Form 6120.1: Pilot/Operator Aircraft Accident/Incident Report Form and Instruction	Unchanged
Second FR Notice for 6120.1 form--11-19-13.pdf Supplementary Document	2013-11-26
First FR Notice for 6120.1 form --5-7-13.pdf Supplementary Document	2013-11-26
Supporting Statement B- NTSB Form 6120 1 11-25-13.docx Supporting Statement B	2013-11-26
Supporting Statement A- NTSB Form 6120 1 -11-26-13.docx Supporting Statement A	2013-11-26

IC Document Collections

IC ID	Document Title	Status
209596	NTSB Form 6120.1: Pilot/Operator Aircraft Accident/Incident Report Form and Instruction	Unchanged

ICR Details

OMB Control No: 3147-0001	ICR Reference No: 201706-3147-001
Status: Historical Active	Previous ICR Reference No: 201311-3147-001
Agency/Subagency: NTSB	Agency Tracking No: 6120.1
Title: Pilot/Operator Aircraft Accident/Incident Report
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/14/2017
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/19/2017
	Date Received in OIRA: 06/13/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	3 Months From Approved
Responses	1,800	0	0
Time Burden (Hours)	1,800	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The pilot/operator accident and incident report form is an information collection tool. The form is completed by the pilot, the operator, or their representative who was involved in an accident or incident. The pilot/operator acquires and submits the form by email, mail, or fax. The form is available at www.ntsb.gov.

Emergency Justfication: Under OMB Control Number 3147-0001, the NTSB uses Form 6120.1 to collect information about aviation accidents and incidents that aircraft operators must report to the NTSB. 49 U.S.C. 1132(b) requires the NTSB to promulgate regulations governing notification and reporting of aircraft accidents. 49 C.F.R. 830.5 requires an aircraft operator to immediately notify the NTSB about an aircraft accident, an aircraft incident listed in section 830.5(a), or an overdue aircraft that is believed to have been involved in an accident. 49 C.F.R. 830.15 requires an operator to file with the NTSB a report about the accident on Form 6120.1 within ten days after an accident, or within seven days after an overdue aircraft is believed to have been involved in an accident. The NTSB needs this information collection tool to launch to accidents that it investigates. The NTSB recently implemented a web-based form for aircraft operators to immediately notify the NTSB about an aircraft incident listed in section 830.5(a). The NTSB is evaluating the most effective method of collecting aviation accident and incident notifications and reports. The NTSB is also determining whether and how to consolidate accident and incident notification and reporting under a single OMB Control Number. Until the NTSB completes this evaluation, it must be able to receive notifications and reports in order to investigate aviation accidents and incidents.

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Authorizing Statute(s): US Code: 49 USC 1101-1155 Name of Law: Independent Bd Safety Act of 1974; National Transportation Safety Board Reauthorization Act of 2006
  

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

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
NTSB Form 6120.1: Pilot/Operator Aircraft Accident/Incident Report	NTSB 6120.1	Pilot/Operator Aircraft Accident Incident Report

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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	1,800	0	0	0	0	1,800
Annual Time Burden (Hours)	1,800	0	0	0	0	1,800
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $651,103

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: 06/13/2017

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