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Airport Improvement Grants Certification and Representations
Airports Grants Program
OMB: 2120-0569
IC ID: 236381
OMB.report
DOT/FAA
OMB 2120-0569
ICR 201905-2120-005
IC 236381
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0569 can be found here:
2023-06-15 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5100-128
Airport Improvement Grants Certification and Representations
Form and Instruction
5100-128 Agreement on State Sponsorship and Airport Sponsor Oblig
faa-form-5100-128-state-sponsorship-2019.pdf
employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027486
Form and Instruction
5100-129 Construction Project Final Acceptance - Airport Improvem
faa-form-5100-129-sponsor-cert-final-project-2017.pdf
employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027487
Form and Instruction
5100-130 Drug-Free Workplace - Airport Improvement Program Sponso
faa-form-5100-130-sponsor-cert-drug-free-2017.pdf
employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027488
Form and Instruction
5100-131 Equipment and Construction Contracts - Airport Improveme
faa-form-5100-131-sponsor-cert-equip-constr-2019.pdf
employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027489
Form and Instruction
5100-132 Project Plans and Specifications - Airport Improvement P
faa-form-5100-132-sponsor-cert-plans-specs-2017.pdf
employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027490
Form and Instruction
5100-133 Real Property Acquisition - Airport Improvement Program
faa-form-5100-133-sponsor-cert-land-2017.pdf
employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027491
Form and Instruction
5100-134 Selection of Consultants - Airport Improvement Program S
faa-form-5100-134-sponsor-cert-consultant-2017.pdf
employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027492
Form and Instruction
5100-135 Certification and Disclosure Regarding Potential Conflic
faa-form-5100-135-conflict-of-interest-certification-2017.pdf
employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027493
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Airport Improvement Grants Certification and Representations
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
2 CFR 200
49 CFR 18
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
5100-128
Agreement on State Sponsorship and Airport Sponsor Obligations - Airport Improvement Program
faa-form-5100-128-state-sponsorship-2019.pdf
https://employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027486
Yes
Yes
Fillable Printable
Form and Instruction
5100-129
Construction Project Final Acceptance - Airport Improvement Program Sponsor Certification
faa-form-5100-129-sponsor-cert-final-project-2017.pdf
https://employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027487
Yes
Yes
Fillable Printable
Form and Instruction
5100-130
Drug-Free Workplace - Airport Improvement Program Sponsor Certification
faa-form-5100-130-sponsor-cert-drug-free-2017.pdf
https://employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027488
Yes
Yes
Fillable Printable
Form and Instruction
5100-131
Equipment and Construction Contracts - Airport Improvement Sponsor Certification
faa-form-5100-131-sponsor-cert-equip-constr-2019.pdf
https://employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027489
Yes
Yes
Fillable Printable
Form and Instruction
5100-132
Project Plans and Specifications - Airport Improvement Program Sponsor Certification
faa-form-5100-132-sponsor-cert-plans-specs-2017.pdf
https://employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027490
Yes
Yes
Fillable Printable
Form and Instruction
5100-133
Real Property Acquisition - Airport Improvement Program Sponsor Certification
faa-form-5100-133-sponsor-cert-land-2017.pdf
https://employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027491
Yes
Yes
Fillable Printable
Form and Instruction
5100-134
Selection of Consultants - Airport Improvement Program Sponsor Certification
faa-form-5100-134-sponsor-cert-consultant-2017.pdf
https://employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027492
Yes
Yes
Fillable Printable
Form and Instruction
5100-135
Certification and Disclosure Regarding Potential Conflicts of Interest - Airport Improvement Program Sponsor Certification
faa-form-5100-135-conflict-of-interest-certification-2017.pdf
https://employees.faa.gov/tools_resources/forms/index.cfm/go/document.information/documentid/1027493
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Air Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,550
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
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
1,550
0
0
1,550
0
0
Annual IC Time Burden (Hours)
12,400
0
0
12,400
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.