Information Collection

Requirement to record and categorize complaints received

IC 25125 under ICR 202601-2105-001 · OMB 2105-0551.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix A - form.pdf Report of Disability-related Complaint Data	IC Document
Appendix A - form.pdf Report of Disability-related Complaint Data	IC Document
Air Carrier Reporting and Recordkeeping Requirements.docx Instructions	IC Document
Air Carrier Reporting and Recordkeeping Requirements.docx Instructions	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 382

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

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 170

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	170	-12	182
Annual IC Time Burden (Hours)	12,270	2,806	9,464
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Report of Disability-related Complaint Data		09/30/2010
Instructions		09/30/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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