Information Collection

NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)

IC 236350 under ICR 202208-2700-001 · OMB 2700-0172.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0172 can be found here:

2025-09-10 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ARC 277B NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)	Form
ASRS ERS screenshots.pptx asrs.arc.nasa.gov	Other-ASRS screenshots
ASRS ERS screenshots.pptx asrs.arc.nasa.gov	Other-ASRS screenshots
C3RS ERS screenshots.pptx c3rs.arc.nasa.gov	Other-C3RS screenshots
C3RS ERS screenshots.pptx c3rs.arc.nasa.gov	Other-C3RS screenshots
ARC 277B ASRS General Form ASRS General Form ARC 277B.pdf asrs.arc.nasa.gov	Form
ARC 277B ASRS General Form ASRS General Form ARC 277B.pdf asrs.arc.nasa.gov	Form
ARC 277# Rotary Wing ASRS Rotary Wing ARC 277#.pdf asrs.arc.nasa.gov	Form
ARC 277# Rotary Wing ASRS Rotary Wing ARC 277#.pdf asrs.arc.nasa.gov	Form
ARC 277U UAS ASRS UAS ARC 277U.pdf asrs.arc.nasa.gov	Form
ARC 277U UAS ASRS UAS ARC 277U.pdf asrs.arc.nasa.gov	Form
ARC 277A ATC ASRS ATC ARC 277A.pdf asrs.arc.nasa.gov	Form
ARC 277A ATC ASRS ATC ARC 277A.pdf asrs.arc.nasa.gov	Form
ARC 277D Maintenance ASRS Maintenance ARC 277D.pdf asrs.arc.nasa.gov	Form
ARC 277D Maintenance ASRS Maintenance ARC 277D.pdf asrs.arc.nasa.gov	Form
ARC 277C Cabin Crew ASRS Cabin Crew ARC 277C.pdf asrs.arc.nasa.gov	Form
ARC 277C Cabin Crew ASRS Cabin Crew ARC 277C.pdf asrs.arc.nasa.gov	Form
ARC 277H C3RS Engineering Form C3RS Engineering ARC 277H.pdf c3rs.arc.nasa.gov	Form
ARC 277H C3RS Engineering Form C3RS Engineering ARC 277H.pdf c3rs.arc.nasa.gov	Form
ARC 277G C3RS Mechanical C3RS Mechanical ARC 277G.pdf c3rs.arc.nasa.gov	Form
ARC 277G C3RS Mechanical C3RS Mechanical ARC 277G.pdf c3rs.arc.nasa.gov	Form
ARC 277F C3RS Transportation C3RS Transportation ARC 277F.pdf c3rs.arc.nasa.gov	Form
ARC 277F C3RS Transportation C3RS Transportation ARC 277F.pdf c3rs.arc.nasa.gov	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 14 CFR 91.25

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	ARC 277B	ASRS General Form	ASRS General Form ARC 277B.pdf	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277#	Rotary Wing	ASRS Rotary Wing ARC 277#.pdf	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277U	UAS	ASRS UAS ARC 277U.pdf	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277A	ATC	ASRS ATC ARC 277A.pdf	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277D	Maintenance	ASRS Maintenance ARC 277D.pdf	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277C	Cabin Crew	ASRS Cabin Crew ARC 277C.pdf	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Other-ASRS screenshots			ASRS ERS screenshots.pptx	https://asrs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277H	C3RS Engineering Form	C3RS Engineering ARC 277H.pdf	https://c3rs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277G	C3RS Mechanical	C3RS Mechanical ARC 277G.pdf	https://c3rs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Form	ARC 277F	C3RS Transportation	C3RS Transportation ARC 277F.pdf	https://c3rs.arc.nasa.gov	Yes	Yes	Fillable Fileable
Other-C3RS screenshots			C3RS ERS screenshots.pptx	https://c3rs.arc.nasa.gov	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 103,344

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

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	103,344	36,171	67,173
Annual IC Time Burden (Hours)	51,672	18,085	33,587
Annual IC Cost Burden (Dollars)	2,433,751	626,099	1,807,652

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.