Information Collection

Complaint

IC 244158 under ICR 202010-2120-009 · OMB 2120-0795.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0795 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IC Instructions_Formal Complaints 14 CFR 13.5.docx	Instruction
IC Instructions_Formal Complaints 14 CFR 13.5.docx	Instruction

IC Title:

Complaint

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 14 CFR 13.5

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
Instruction				www.ecfr.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title: DOT/FAA 847

FR Citation: 75 FR 68849

Number of Respondents: 7

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7	7
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	1,018	1,018

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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