Large Helicopter Air Ambulance Operator Reports

Helicopter Air Ambulance Operator Reports

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0761 can be found here:

Documents and Forms

Document Name Document Type
HAA_Flight_Operations_Reporting_Template (1).xlsx www.faa.gov/about/office_org/headquarters_offices/avs/offices/afx/afs/afs200/afs250 Other-Spreadsheet

Information Collection (IC) Details

IC Title:	Large Helicopter Air Ambulance Operator Reports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Spreadsheet			HAA_Flight_Operations_Reporting_Template (1).xlsx	https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/afx/afs/afs200/afs250	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12	-1	13
Annual IC Time Burden (Hours)	288	-24	312
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.