Aviation Insurance

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2120-0514 Application for FAA Non-Premium War Risk Hull and Liability Insurance	Form and Instruction	Modified	Repair queued
Form 2120-0514 Aviation Insurance	Form and Instruction	Modified	Repair queued
Form 2120-0514 Application for FAA Non-Premium War Risk Hull and Liability Insurance	Form and Instruction	Modified	Repair queued
Form 2120-0514 Update - Aircraft Schedule	Form and Instruction	Modified	Repair queued
Form 2120-0514 Application for FAA Non-Premium War Risk Hull and Liability Insurance	Form and Instruction	Modified	Available
Form 2120-0514 Update - Business Information	Form and Instruction	Modified	Repair queued
Form 2120-0514 Application for FAA Non-Premium War Risk Hull and Liability Insurance	Form and Instruction	Modified	Repair queued
Form 2120-0514 Update - Commercial Pollicy Submission	Form and Instruction	Modified	Repair queued
49 USC Chapter 443-Insurance.pdf	Supplementary Document	Uploaded 2022-04-13	Repair queued
2120-0514 Supporting Statement A 4 05 22 nC.docx	Supporting Statement A	Uploaded 2022-04-05	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
25597	Aviation Insurance	Form and Instruction	Modified	Application for FAA Non-Premium War Risk Hull and Liability Insurance
25597	Aviation Insurance	Form and Instruction	Modified
233349	Update - Aircraft Schedule	Form and Instruction	Modified	Application for FAA Non-Premium War Risk Hull and Liability Insurance
233349	Update - Aircraft Schedule	Form and Instruction	Modified
233348	Update - Business Information	Form and Instruction	Modified	Application for FAA Non-Premium War Risk Hull and Liability Insurance
233348	Update - Business Information	Form and Instruction	Modified
233347	Update - Commercial Pollicy Submission	Form and Instruction	Modified	Application for FAA Non-Premium War Risk Hull and Liability Insurance
233347	Update - Commercial Pollicy Submission	Form and Instruction	Modified

ICR Details

OMB Control No: 2120-0514	ICR Reference No: 202203-2120-013
Status: Active	Previous ICR Reference No: 201810-2120-001
Agency/Subagency: DOT/FAA	Agency Tracking No: Ready for OST review
Title: Aviation Insurance
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/26/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/26/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2025	36 Months From Approved	05/31/2022
Responses	114	0	114
Time Burden (Hours)	28	0	28
Cost Burden (Dollars)	0	0	0

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Abstract: Air carriers, operators that are members of the Civil Reserve Air Fleet (CRAF) or direct contractors to DOD supporting the President's initiatives are required to respond to this collection and in return receive the benefit of insurance. The FAA may use any information submitted by applicants for chapter 443 insurance to identify the eligibility of parties to be insured, the amount of coverage required, and insurance premiums. Without collection of this information, the FAA would not be able to issue required insurance. The public cost burden has been adjusted for inflation since the last report in 2018.

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Authorizing Statute(s): PL: Pub.L. 107 - 296 1 Name of Law: Homeland Security Act of 2002
   US Code: 49 USC 443 Name of Law: Insurance
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 9413	02/18/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 24220	04/22/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Aviation Insurance	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance
Update - Aircraft Schedule	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance
Update - Business Information	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance
Update - Commercial Pollicy Submission	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	114	114	0	0	0	0
Annual Time Burden (Hours)	28	28	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $928

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/26/2022

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