Information Collection

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

IC 236350 under ICR 201906-2700-001 · OMB 2700-0172.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0172 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ARC 277B ASRS General Form NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
Form ARC 277# Rotary Wing NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
Form ARC 277# UAS NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
Form ARC 277A ATC NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
Form ARC 277D Maintenance NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
Form ARC 277C Cabin Crew NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
Form ARC 277H C3RS Engineering Form NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
Form ARC 277G C3RS Mechanical NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
Form ARC 277F C3RS Transportation NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
NASA ASRS ERS screeenshot_june232019.pptx asrs.arc.nasa.gov	Other-ASRS screenshots
NASA C3RS ERS screenshots.pptx c3rs.arc.nasa.gov	Other-C3RS screenshots
ARC 277B ASRS General Form ASRS form- General_051419.pdf asrs.arc.nasa.gov	Form
ARC 277# Rotary Wing ASRS_RotaryWing_PRAb.pdf asrs.arc.nasa.gov	Form
ARC 277# UAS ASRS UAS_2019-06-21.pdf asrs.arc.nasa.gov	Form
ARC 277A ATC controller_July 2017_PRA.pdf asrs.arc.nasa.gov	Form
ARC 277D Maintenance mechanic_July2017_PRA.pdf asrs.arc.nasa.gov	Form
ARC 277C Cabin Crew cabin_July2017_PRA.pdf asrs.arc.nasa.gov	Form
ARC 277H C3RS Engineering Form C3RS_EngineeringForm_PRA.pdf c3rs.arc.nasa.gov	Form
ARC 277G C3RS Mechanical C3RS_MechanicalForm_PRA.pdf c3rs.arc.nasa.gov	Form
ARC 277F C3RS Transportation C3RS_TransportationForm_PRA.pdf c3rs.arc.nasa.gov	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 14 CFR 91.25

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ARC 277B	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277#	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277#	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277A	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277D	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277C	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Other-ASRS screenshots		https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277H	https://c3rs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277G	https://c3rs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277F	https://c3rs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Other-C3RS screenshots		https://c3rs.arc.nasa.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67,173

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	67,173	67,173
Annual IC Time Burden (Hours)	33,587	33,587
Annual IC Cost Burden (Dollars)	1,807,652	1,807,652

Documents for IC

table that charts IC Documents
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.

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