Information Collection Request

Passenger Facility Charge (PFC) Application

ICR 202406-2120-002 · OMB 2120-0557 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 5500-1 Attachment B Form Modified Repair queued
Form 5500-1 Attachment G Form Modified Available
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Available
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
PA Qtrly Report Disbursements Form Form Modified Available
PA Qtrly Report Revenue Form Form Modified Available
Form 5500-4 PFC Physical Completion Form Form and Instruction Modified Available
Form 5500-3 PFC Financial Completion Form Form and Instruction Modified Available
Form 5500-2 PFC Amendment Request Form Form and Instruction Modified Available
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application - Amendment Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Application - Extension Form Modified Repair queued
Form 5500-1 Attachment H Form and Instruction Modified Available
Form 5500-1 Passenger Facility Charge (PFC) Application Form Modified Repair queued
Form 5500-1 Passenger Facility Charge (PFC) Authorizations Form Modified Repair queued
30 Day FRN 2120-0557 2024-23928.pdf Supplementary Document Uploaded 2024-10-17 Repair queued
60 Day FRN 2120-0557 2024-08918.pdf Supplementary Document Uploaded 2024-09-11 Repair queued
pfc_73_20_streamlined_procedures.pdf Supplementary Document Uploaded 2024-08-20 Repair queued
Privacy Assessment.docx Supplementary Document Uploaded 2024-08-20 Repair queued
2120-0557 Supporting Statement A 2024.docx Supporting Statement A Uploaded 2024-08-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
25628 Passenger Facility Charge (PFC) Application Form ModifiedAttachment B
25628 Passenger Facility Charge (PFC) Application Form ModifiedAttachment G
25628 Passenger Facility Charge (PFC) Application Form ModifiedPassenger Facility Charge (PFC) Application
25628 Passenger Facility Charge (PFC) Application Form Modified
25628 Passenger Facility Charge (PFC) Application Instruction Modified
228359 Air Carrier Audit of PFC Accounts Instruction Modified
228358 Air Carrier to Maintain Separate PFC Accounting Records Instruction Modified
228357 Public Agency Audit PFC Projects Instruction Modified
228356 Public Agency to Maintain Separate PFC Accounting Records Instruction Modified
228355 Covered Air Carrier Accounting Statement for FAA Review Instruction Unchanged
228354 Air Carrier Quarterly PFC Reports to Public Agencies Instruction Modified
228353 Public Agency Report on Fiscal Year PFC Activity to FAA Instruction Modified
228352 Public Agency Quarterly PFC Report to Air Carriers Form ModifiedPA Qtrly Report Disbursements Form
228352 Public Agency Quarterly PFC Report to Air Carriers Form ModifiedPA Qtrly Report Revenue Form
228352 Public Agency Quarterly PFC Report to Air Carriers Form and Instruction ModifiedPFC Physical Completion Form
228352 Public Agency Quarterly PFC Report to Air Carriers Form and Instruction ModifiedPFC Financial Completion Form
228352 Public Agency Quarterly PFC Report to Air Carriers Instruction Modified
228351 Covered Air Carrier Transfer Funds Daily to PFC Account Instruction Modified
228350 Public Agency Notification to Air Carriers Instruction Modified
228349 Passenger Facility Charge (PFC) Application - Amendment Form and Instruction ModifiedPFC Amendment Request Form
228349 Passenger Facility Charge (PFC) Application - Amendment Form ModifiedPassenger Facility Charge (PFC) Application
228349 Passenger Facility Charge (PFC) Application - Amendment Form Modified
228349 Passenger Facility Charge (PFC) Application - Amendment Instruction Modified
228348 Passenger Facility Charge (PFC) Application - Extension Form ModifiedPassenger Facility Charge (PFC) Application
228348 Passenger Facility Charge (PFC) Application - Extension Form Modified
228348 Passenger Facility Charge (PFC) Application - Extension Instruction Modified
228347 Passenger Facility Charge (PFC) Authorizations Form and Instruction ModifiedAttachment H
228347 Passenger Facility Charge (PFC) Authorizations Form ModifiedPassenger Facility Charge (PFC) Application
228347 Passenger Facility Charge (PFC) Authorizations Form Modified
228347 Passenger Facility Charge (PFC) Authorizations Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/29/2028 36 Months From Approved 02/28/2025
20,577 0 21,865
33,015 0 35,466
0 0 0





Reginfo record details
14
table that charts list of burden
IC Title Form No. Form Name
Air Carrier Audit of PFC Accounts
Air Carrier Quarterly PFC Reports to Public Agencies
Air Carrier to Maintain Separate PFC Accounting Records
Covered Air Carrier Accounting Statement for FAA Review
Covered Air Carrier Transfer Funds Daily to PFC Account
Passenger Facility Charge (PFC) Application 5500-1, 5500-1, 5500-1 ,   ,  
Passenger Facility Charge (PFC) Application - Amendment 5500-2, 5500-1 ,  
Passenger Facility Charge (PFC) Application - Extension 5500-1
Passenger Facility Charge (PFC) Authorizations 5500-1, 5500-1 ,  
Public Agency Report on Fiscal Year PFC Activity to FAA
Public Agency Audit PFC Projects
Public Agency Notification to Air Carriers
Public Agency Quarterly PFC Report to Air Carriers 5500-3, 5500-4, N/A, N/A ,   ,   ,  
Public Agency to Maintain Separate PFC Accounting Records

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 20,577 21,865 0 0 -1,288 0
Annual Time Burden (Hours) 33,015 35,466 0 0 -2,451 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No