On-Line Complaint Form for Service-Related Issues in Air Transportation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0568 can be found here:

Documents and Forms

Document Name Document Type
On-Line Complaint Form for Service-Related Issues in Air Transportation.txt airconsumer.dot.gov/escomplaint/ConsumerForm.cfm Other-Form Name and URL Information

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	On-Line Complaint Form for Service-Related Issues in Air Transportation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Form Name and URL Information			On-Line Complaint Form for Service-Related Issues in Air Transportation.txt	http://airconsumer.dot.gov/escomplaint/ConsumerForm.cfm	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: 70 FR 9436

Number of Respondents: 17,844	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 87 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	17,844	536	17,308
Annual IC Time Burden (Hours)	4,461	134	4,327
Annual IC Cost Burden (Dollars)	0	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.