Information Collection

135.63

IC 248711 under ICR 202304-2120-006 · OMB 2120-0039.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0039 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instrument for 2120-0039.docx	Instruction
Instrument for 2120-0039.docx	Instruction

IC Title:

135.63

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 135

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
Instruction			Instrument for 2120-0039.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 954

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,908	4	1,904
Annual IC Time Burden (Hours)	954	-950	1,904
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.