NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form ARC 277F Transportation	Form	New	Available
Form ARC 277G Mechanical	Form	New	Available
Form ARC 277H Engineering	Form	New	Repair queued
Form ARC 277C Cabin Crew	Form	New	Available
Form ARC 277D Maintenance	Form	New	Available
Form ARC 277A ATC	Form	New	Available
Form ARC 277# UAS	Form	New	Available
Form ARC 277# Rotary Wing	Form	New	Available
Form ARC 277B General	Form	New	Available
Form ARC 277F C3RS Transportation	Form	New	Available
Form ARC 277G C3RS Mechanical	Form	New	Available
Form ARC 277H C3RS Engineering Form	Form	New	Available
Form ARC 277C Cabin Crew	Form	New	Available
Form ARC 277D Maintenance	Form	New	Available
Form ARC 277A ATC	Form	New	Available
Form ARC 277# UAS	Form	New	Available
Form ARC 277# Rotary Wing	Form	New	Available
Form ARC 277B ASRS General Form	Form	New	Available
NASA ASRS Supporting Statement A June 2019_06_26Rev1.docx	Supporting Statement A	Uploaded 2019-07-23	Available
AC 00-46E.pdf	Supplementary Document	Uploaded 2019-06-04	Available
VSRS 30 Day FRN_Vol 84_No 107_060419.pdf	Supplementary Document	Uploaded 2019-06-04	Repair queued
VSRS 60 Day FRN_Vol 83_No 211_103118.pdf	Supplementary Document	Uploaded 2019-06-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Transportation
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Mechanical
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Engineering
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Cabin Crew
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Maintenance
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	ATC
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	UAS
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Rotary Wing
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	General
236351	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Other-ASRA screenshots	New
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	C3RS Transportation
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	C3RS Mechanical
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	C3RS Engineering Form
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Cabin Crew
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Maintenance
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	ATC
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	UAS
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	Rotary Wing
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form	New	ASRS General Form
236350	NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Other-ASRS screenshots	New

ICR Details

OMB Control No: 2700-0172	ICR Reference No: 201906-2700-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NASA	Agency Tracking No:
Title: NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/23/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/06/2019
Terms of Clearance: This collection is approved based on the revised materials provided by the Agency. This collection should be reported in NASA's information collection budget (ICB) submission.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved
Responses	103,344	0	0
Time Burden (Hours)	51,673	0	0
Cost Burden (Dollars)	2,332,117	0	0

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Abstract: The NASA Ames Research Center, Human Systems Integration Division, manages voluntary safety reporting systems (VSRS) to collect and share safety information including, but not limited to, the NASA Aviation Safety Reporting System (ASRS) and the Confidential Close Call Reporting System (C3RS). Both systems are voluntary reporting systems for the reporting of safety incidents, events, or situations. Respondents include, but are not limited to, any participant involved in safety-critical domains such as aviation or railway operations including commercial and general aviation pilots, rotorcraft pilots, drone operators, air traffic controllers, flight attendants, ground crews, maintenance technicians, dispatchers, train engineers, conductors, and other members of the public. The collected safety data are used by NASA, Federal Aviation Administration (FAA), Federal Railroad Administration (FRA), and other organizations that are engaged in research and the promotion of safety. The data are used to (1) Identify deficiencies and discrepancies so that these can be remedied by appropriate authorities, (2) Support policy formulation and planning for improvements and, (3) Strengthen the foundation of human factors safety research.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 211	10/31/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 107	06/04/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	ARC 277C, ARC 277B, ARC 277D, ARC 277F, ARC 277G, ARC 277#, ARC 277#, ARC 277A, ARC 277H	ASRS General Form ,   Rotary Wing ,   UAS ,   ATC ,   Maintenance ,   Cabin Crew ,   C3RS Engineering Form ,   C3RS Mechanical ,   C3RS Transportation
NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	ARC 277#, ARC 277C, ARC 277B, ARC 277A, ARC 277G, ARC 277#, ARC 277F, ARC 277H, ARC 277D	General ,   Rotary Wing ,   UAS ,   ATC ,   Maintenance ,   Cabin Crew ,   Engineering ,   Mechanical ,   Transportation

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	103,344	0	0	103,344	0	0
Annual Time Burden (Hours)	51,673	0	0	51,673	0	0
Annual Cost Burden (Dollars)	2,332,117	0	0	2,332,117	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request is for an OMB control number and is a "new" information collection.

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Annual Cost to Federal Government: $4,300,300

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/06/2019

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