Information Collection

Origin and Destination 40 percent collection

IC 245762 under ICR 202303-2139-001 · OMB 2139-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2139-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
omb.21390014.justification_PartA.docx Justification Part A	IC Document
omb.21390014.justification_PartA.docx Justification Part A	IC Document
omb.21390014.justification_PartB.docx Justification Part B	IC Document
omb.21390014.justification_PartB.docx Justification Part B	IC Document

IC Title:

Origin and Destination 40 percent collection

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 14 CFR Part 241 (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

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 101

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,212	1,212
Annual IC Time Burden (Hours)	36,360	36,360
Annual IC Cost Burden (Dollars)	9,598	9,598

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification Part A	omb.21390014.justification_PartA.docx	03/27/2023
Justification Part B	omb.21390014.justification_PartB.docx	03/27/2023

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