Test_Data_Submission

U.S. Department of Transportation
Federal Aviation Administration

OMB Control No. 21XX-XXXX
Collection Expires XX/XX/XXXX

Test Data Submission
Public Burden Statement: A federal agency may not conduct or sponsor, and a person is not required
to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of
information subject to the requirements of the Paperwork Reduction Act unless that collection of
information displays a currently valid OMB Control Number. The OMB Control Number for this
information collection is 21XX-XXXX. Public reporting for this collection of information is estimated to be
approximately 5 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. All responses to this collection of information are voluntary. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood
Parkway, Fort Worth, TX 76177-1524.

Instructions for Submitting Test Data
The Unmanned Aircraft Systems Integration Office welcomes the voluntary submission of test data from
BEYOND and Partnership for Safety Plan (PSP) participants that is not submitted as part of safety cases
in order to better inform Federal Aviation Administration decision-making based on the performance of
unmanned aircraft systems. A larger volume of test data will lead to higher quality analyses. Because the
test data submission is voluntary, there is no specified report format and no specified reporting frequency.
Please follow these steps to submit the test data:
1. Complete the cover page attached to these instructions.
2. Attach the cover page to the test data.
3. Upload the data package to the designated, secure folder on the Aeronautical Data Exchange
(ADX).

Instrument/Test Data (5/21)

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U.S. Department of Transportation
Federal Aviation Administration

OMB Control No. 21XX-XXXX
Collection Expires XX/XX/XXXX

Test Data Submission
Participant Name:
Date(s) of Testing:
Testing Location (city and state):
Purpose of Test:

Public Burden Statement: A federal agency may not conduct or sponsor, and a person is not required
to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of
information subject to the requirements of the Paperwork Reduction Act unless that collection of
information displays a currently valid OMB Control Number. The OMB Control Number for this
information collection is 21XX-XXXX. Public reporting for this collection of information is estimated to be
approximately 5 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. All responses to this collection of information are required to obtain or retain a benefit (49
U.S.C. § 106(l) and (m)). Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to: Information Collection
Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524.

Instrument/Test Data (5/21)

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