Passenger Facility Charge (PFC) Authorizations

Passenger Facility Charge (PFC) Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0557 can be found here:

Documents and Forms

Document Name Document Type
Form 5500-1 Passenger Facility Charge (PFC) Authorizations Form
14 CFR Part 158.doc www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=9cd1b12b1ed95ca805342034af9edeb9&rgn=div5&view=text&node=14:3.0.1.3.28&idno=14 Instruction
5500-1 Passenger Facility Charge (PFC) Application FAA_Form_5500-1_Passenger_Facility_Charge_Application_12-2020.docx Form

Information Collection (IC) Details

IC Title:	Passenger Facility Charge (PFC) Authorizations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 158

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5500-1	Passenger Facility Charge (PFC) Application	FAA_Form_5500-1_Passenger_Facility_Charge_Application_12-2020.docx		Yes	Yes	Fillable Fileable Signable
Instruction			14 CFR Part 158.doc	http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=9cd1b12b1ed95ca805342034af9edeb9&rgn=div5&view=text&node=14:3.0.1.3.28&idno=14	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 67	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	67	22	45
Annual IC Time Burden (Hours)	2,278	1,153	1,125
Annual IC Cost Burden (Dollars)	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.