Information Collection

Public Agency Quarterly PFC Report to Air Carriers

IC 228352 under ICR 202406-2120-002 · OMB 2120-0557.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5500-3 PFC Financial Completion Form Public Agency Quarterly PFC Report to Air Carriers	Form and Instruction
Form 5500-4 PFC Physical Completion Form Public Agency Quarterly PFC Report to Air Carriers	Form and Instruction
PA Qtrly Report Revenue Form Public Agency Quarterly PFC Report to Air Carriers	Form
PA Qtrly Report Disbursements Form Public Agency Quarterly PFC Report to Air Carriers	Form
14 CFR Part 158.doc www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=9cd1b12b1ed95ca805342034af9edeb9&rgn=div5&view=text&node=14:3.0.1.3.28&idno=14	Instruction
14 CFR Part 158.doc www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=9cd1b12b1ed95ca805342034af9edeb9&rgn=div5&view=text&node=14:3.0.1.3.28&idno=14	Instruction
5500-3 PFC Financial Completion Form 5500-3 Financial Completion Form draft.docx	Form and Instruction
5500-3 PFC Financial Completion Form 5500-3 Financial Completion Form draft.docx	Form and Instruction
5500-4 PFC Physical Completion Form 5500-4 Physical Completion Form draft.docx	Form and Instruction
5500-4 PFC Physical Completion Form 5500-4 Physical Completion Form draft.docx	Form and Instruction
PA Qtrly Report Revenue Form PA Quarterly Report Revenue draft.png	Form
PA Qtrly Report Revenue Form PA Quarterly Report Revenue draft.png	Form
PA Qtrly Report Disbursements Form PA Quarterly Report Disbursements draft.png	Form
PA Qtrly Report Disbursements Form PA Quarterly Report Disbursements draft.png	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 158

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=9cd1b12b1ed95ca805342034af9edeb9&rgn=div5&view=text&node=14:3.0.1.3.28&idno=14	Yes	No	Printable Only
Form and Instruction	5500-3		Yes	Yes	Fillable Fileable Signable
Form and Instruction	5500-4		Yes	Yes	Fillable Fileable Signable
Form	N/A		Yes	Yes	Fillable Fileable Signable
Form	N/A		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 356

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,424	-44	1,468
Annual IC Time Burden (Hours)	11,392	-352	11,744
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.

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