Information Collection

Large Helicopter Air Ambulance Operator Reports

IC 213039 under ICR 202010-2120-002 · OMB 2120-0761.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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
HAA_Flight_Operations_Reporting_Template (1).xlsx www.faa.gov/about/office_org/headquarters_offices/avs/offices/afx/afs/afs200/afs250	Other-Spreadsheet

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Spreadsheet				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 %

table that charts list of burden
	Approved	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

table that charts IC Documents
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.

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