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ATC Authorization Request
ATC Authorization in Controlled Airspace under Part 107
OMB: 2120-0768
IC ID: 222432
OMB.report
DOT/FAA
OMB 2120-0768
ICR 201710-2120-001
IC 222432
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0768 can be found here:
2023-04-20 - Revision of a currently approved collection
2019-11-21 - Extension without change of a currently approved collection
Documents and Forms
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
DZ PA Statementv2.pdf
DZ - PA Statement
IC Document
DZ Airspace Auth Screens.pdf
DZ - Airspace Authorizations
IC Document
DZ Airspace Waiver Screens.pdf
DZ - Airspace waivers
IC Document
DZ Ops Waiver Screens.pdf
DZ - Operations Waivers
IC Document
DZ - justification.docx
DZ - Justification
IC Document
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Air Transportation
Privacy Act System of Records
Title:
DOT/FAA 801
FR Citation:
81 FR 54187
Number of Respondents:
19,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
19,000
0
0
0
0
19,000
Annual IC Time Burden (Hours)
9,500
0
0
0
0
9,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
DZ - PA Statement
DZ PA Statementv2.pdf
09/21/2017
DZ - Airspace Authorizations
DZ Airspace Auth Screens.pdf
09/21/2017
DZ - Airspace waivers
DZ Airspace Waiver Screens.pdf
09/21/2017
DZ - Operations Waivers
DZ Ops Waiver Screens.pdf
09/21/2017
DZ - Justification
DZ - justification.docx
09/21/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.