Information Collection

Application for Non-Premium Insurance

IC 25597 under ICR 202501-2120-001 · OMB 2120-0514.

Documents and Forms

Document Name Document Type
Form 2120-0514 Application for Non-Premium Insurance Form and Instruction
2120-0514 Application for FAA Non-Premium War Risk Hull and Liabil Screen shot 2022.pdf aidms.faa.gov/ApplicationMoa Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Non-Premium Insurance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance	Screen shot 2022.pdf	https://aidms.faa.gov/ApplicationMoa	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	16	16
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.