Information Collection

121.403

IC 247895 under ICR 202106-2120-004 · OMB 2120-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0008 can be found here:

Documents and Forms

Document Name Document Type
121 Instrument.docx Instruction
121 Instrument.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	121.403	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 121.403

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			121 Instrument.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	17	17
Annual IC Time Burden (Hours)	221	221
Annual IC Cost Burden (Dollars)	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.