Information Collection

Airplane and Helicopter Data Record

IC 184330 under ICR 202112-0596-006 · OMB 0596-0015.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS-5700-21 Airplane and Helicopter Data Record	Form and Instruction
FS-5700-21 Airplane Data Record FS5700-21 (1).xls	Form and Instruction
FS-5700-21a Helicopter Data Record FS5700-21a.xls	Form and Instruction
FAA_regulations_14CFR.doc 14 CFR - FAA Regulations	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR FAA Regulations (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Form and Instruction	FS-5700-21	Airplane Data Record	FS5700-21 (1).xls		No		Paper Only
Form and Instruction	FS-5700-21a	Helicopter Data Record	FS5700-21a.xls		No		Paper Only

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 577

Number of Respondents for Small Entity: 200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	577	66	511
Annual IC Time Burden (Hours)	2,308	264	2,044
Annual IC Cost Burden (Dollars)	150,135	150,135	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
14 CFR - FAA Regulations	FAA_regulations_14CFR.doc	04/02/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.