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Malfunction or Defect Report
Service Difficulty Report
OMB: 2120-0663
IC ID: 227298
OMB.report
DOT/FAA
OMB 2120-0663
ICR 202009-2120-005
IC 227298
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0663 can be found here:
2024-09-30 - Revision of a currently approved collection
2023-07-10 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FAA Form 8040-4
Malfunction or Defect Report
Form
FAA Form 8040-4 Malfunction or Defect Report
FAA_8010-4_7-19.pdf
www.faa.gov/forms/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Malfunction or Defect Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FAA Form 8040-4
Malfunction or Defect Report
FAA_8010-4_7-19.pdf
https://www.faa.gov/forms/
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:
2,000
Number of Respondents for Small Entity:
1
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
95 %
Requested
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
2,000
0
0
1,400
0
600
Annual IC Time Burden (Hours)
334
0
0
244
0
90
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.