Information Collection

On-Line Complaint Form for Service-Related Issues in Air Transportation

IC 217910 under ICR 202201-2105-001 · OMB 2105-0568.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0568 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
On-Line Complaint Form for Service-Related Issues in Air Transportation.txt airconsumer.dot.gov/escomplaint/ConsumerForm.cfm	Other-Form Name and URL Information
On-Line Complaint Form for Service-Related Issues in Air Transportation.txt airconsumer.dot.gov/escomplaint/ConsumerForm.cfm	Other-Form Name and URL Information

IC Title:

On-Line Complaint Form for Service-Related Issues in Air Transportation

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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-Form Name and URL Information			On-Line Complaint Form for Service-Related Issues in Air Transportation.txt	http://airconsumer.dot.gov/escomplaint/ConsumerForm.cfm	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title: DOT/OST 102 - Aviation Consumer Complaint Application Online System (CCA)

FR Citation: 70 FR 9436

Number of Respondents: 14,713

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 87 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	14,713	-3,131	17,844
Annual IC Time Burden (Hours)	3,678	-783	4,461
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.