Form AC 70-2 (mobile qu AC 70-2 (mobile qu Laser Incident Reporting Form

Paperwork Reduction Act Burden Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act
unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection
is 2120-0698. Public reporting for this collection of information is estimated to be approximately 10 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of
information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden to the FAA at: 800 Independence Ave. SW, Washington, DC 20591,
Attn: Information Collection Clearance Officer, ASP-110.
OMB Control Number: 2120-0698
Expiration Date: 8/31/2018

Paperwork Reduction Act Burden Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act
unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection
is 2120-0698. Public reporting for this collection of information is estimated to be approximately 10 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of
information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden to the FAA at: 800 Independence Ave. SW, Washington, DC 20591,
Attn: Information Collection Clearance Officer, ASP-110.
OMB Control Number: 2120-0698
Expiration Date: 8/31/2018