Information Collection Request

Passenger Facility Charge (PFC) Application

ICR 202009-2120-007 · OMB 2120-0557 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5500-1 Attachment B Form Modified Repair queued
Form 5500-1 Attachment G Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application - Amendment Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application - Extension Form Modified Repair queued
Form 5500-1 Attachment H Form and Instruction Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Authorizations Form Modified Repair queued
2120-0557_Supporting Statement_FINAL.docx Supporting Statement A Uploaded 2020-12-18 Repair queued
PFC_5500_1_ATTACHMENT_H.xlsx Supplementary Document Uploaded 2020-10-23 Repair queued
PFC_5500_1_ATTACHMENT_G.docx Supplementary Document Uploaded 2020-10-23 Repair queued
PFC_5500_1_ATTACHMENT_B.docx Supplementary Document Uploaded 2020-10-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
25628 Passenger Facility Charge (PFC) Application Form ModifiedAttachment B
25628 Passenger Facility Charge (PFC) Application Form ModifiedAttachment G
25628 Passenger Facility Charge (PFC) Application Form ModifiedPassenger Facility Charge (PFC) Application
25628 Passenger Facility Charge (PFC) Application Form Modified
25628 Passenger Facility Charge (PFC) Application Instruction Modified
228359 Air Carrier Audit of PFC Accounts Instruction Modified
228358 Air Carrier to Maintain Separate PFC Accounting Records Instruction Modified
228357 Public Agency Audit PFC Projects Instruction Modified
228356 Public Agency to Maintain Separate PFC Accounting Records Instruction Modified
228355 Covered Air Carrier Accounting Statement for FAA Review Instruction Modified
228354 Air Carrier Quarterly PFC Reports to Public Agencies Instruction Modified
228353 Public Agency Report on Fiscal Year PFC Activity to FAA Instruction Modified
228352 Public Agency Quarterly PFC Report to Air Carriers Instruction Modified
228351 Covered Air Carrier Transfer Funds Daily to PFC Account Instruction Modified
228350 Public Agency Notification to Air Carriers Instruction Modified
228349 Passenger Facility Charge (PFC) Application - Amendment Form ModifiedPassenger Facility Charge (PFC) Application
228349 Passenger Facility Charge (PFC) Application - Amendment Form Modified
228349 Passenger Facility Charge (PFC) Application - Amendment Instruction Modified
228348 Passenger Facility Charge (PFC) Application - Extension Form ModifiedPassenger Facility Charge (PFC) Application
228348 Passenger Facility Charge (PFC) Application - Extension Form Modified
228348 Passenger Facility Charge (PFC) Application - Extension Instruction Modified
228347 Passenger Facility Charge (PFC) Authorizations Form and Instruction ModifiedAttachment H
228347 Passenger Facility Charge (PFC) Authorizations Form ModifiedPassenger Facility Charge (PFC) Application
228347 Passenger Facility Charge (PFC) Authorizations Form Modified
228347 Passenger Facility Charge (PFC) Authorizations Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2024 36 Months From Approved 11/30/2021
21,865 0 3,080
35,466 0 22,684
0 0 0





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 21,865 3,080 0 18,785 0 0
Annual Time Burden (Hours) 35,466 22,684 0 12,782 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No