Pilot/Operator Aircraft Accident/Incident Report

ICR 202407-3147-001

OMB: 3147-0001

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supplementary Document
2024-07-22
Justification for No Material/Nonsubstantive Change
2024-07-22
Supplementary Document
2024-03-21
Supplementary Document
2023-12-12
Supplementary Document
2023-11-17
Supplementary Document
2023-11-17
Supporting Statement B
2024-04-24
Supporting Statement A
2024-04-24
IC Document Collections
ICR Details
3147-0001 202407-3147-001
Received in OIRA 202001-3147-001
NTSB 6120.1
Pilot/Operator Aircraft Accident/Incident Report
No material or nonsubstantive change to a currently approved collection   No
Regular 07/22/2024
  Requested Previously Approved
04/30/2027 04/30/2027
1,400 1,400
1,400 1,400
0 0

The pilot/operator accident and incident report form is an information collection tool. The form is completed by the pilot, the operator, or their representative who was involved in an accident or incident. The pilot/operator acquires and submits the form by email, mail, or fax. The form is available at https://www.ntsb.gov/Pages/Report.aspx.

US Code: 49 USC 1101-1155 Name of Law: Independent Bd Safety Act of 1974; National Transportation Safety Board Reauthorization Act of 2006
  
None

Not associated with rulemaking

  86 FR 23745 05/04/2021
88 FR 86160 12/12/2023
Yes

1
IC Title Form No. Form Name
Pilot/Operator Aircraft Accident/Incident Report NTSB 6120.1 Pilot/Operator Aircraft Accident Incident Report

  Total Request 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 1,400 1,400 0 0 0 0
Annual Time Burden (Hours) 1,400 1,400 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Accidents/incidents have declined.

$222,390
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Stephanie Masker 202 314-6046 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/22/2024


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