Information Collection

Aviation Insurance

IC 25597 under ICR 201810-2120-001 · OMB 2120-0514.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0514 can be found here:

Documents and Forms

Document Name Document Type
Form 2120-0514 Aviation Insurance Form and Instruction
2120-0514 Application for FAA Non-Premium War Risk Hull and Liabil Insurance screenshot 2018.png aviation.itworks-software.com/ApplicationMoa/Index Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Aviation Insurance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance	Insurance screenshot 2018.png	https://aviation.itworks-software.com/ApplicationMoa/Index	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4	-150	154
Annual IC Time Burden (Hours)	16	-600	616
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.