Pilot/Operator Aircraft Accident/Incident Report

Documents and Forms

Document Name Document Type
Form NTSB 6120.1 Pilot/Operator Aircraft Accident/Incident Report Form and Instruction
NTSB 6120.1 Pilot/Operator Aircraft Accident Incident Report 6120.1 form- 12-05-13.pdf www.ntsb.gov/Pages/Report.aspx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pilot/Operator Aircraft Accident/Incident Report	Agency IC Tracking Number:	6120.1

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 830

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NTSB 6120.1	Pilot/Operator Aircraft Accident Incident Report	6120.1 form- 12-05-13.pdf	https://www.ntsb.gov/Pages/Report.aspx	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,400	-400	1,800
Annual IC Time Burden (Hours)	1,400	-400	1,800
Annual IC Cost Burden (Dollars)	65,940	65,940	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.