Form 7900-XX Instrument Landing System Data

INFORMATION FOR PUBLIC RESPONDENT

U.S. Department

of Transportation

Federal Aviation

Administration

INSTRUMENT LANDING SYSTEM (ILS) DATA

Paperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-xxxx. Public reporting for this collection of information is estimated to be approximately 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing the collection of information. All responses are mandatory per 49 USC § 40103. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the FAA at: 800 Independence Ave. SW Washington, DC 20591 Attn: Information Collection Clearance Officer, AES-200.

INSTRUMENT LANDING SYSTEM (ILS) DATA																			O.M.B. Approval No 2120 -xxxx Exp. xx/xx/xxxx
I. SUBMISSION
1. Name					2. Organization								3. Date
4. Email					5. Phone								6. Authorizing Official
7. Purpose of Submission: Changes to Existing System - Complete all items necessary to describe the change(s) New System - Complete as much of the form as possible Decommission System - Complete Items 10-11,16-18							8. Are any changes being made to the runway associated with this ILS (e.g., new RWY thld, displ thld, RWY length, RWY width)? No Yes (add RWY data source in REMARKS)														9. Proposed Effective Date
II. GENERAL
10. Facility ID	11. Facility Type			12. Owner Type		13. ILS Classification						14. Mag Variation Mag Var: __________ Epoch Yr: _________								15. Owner
						a. CAT				b. TOL	c. I/C
16. Airport Name				17. Airport Loc ID		18. Location (City, State, Country)														19. Operator
20. Approach RWY End Number			21. Apch Bearing (Deg)		22. Geodetic Datum Hor: Vert:				23. Transmitter Single Dual NA				24. Dual Frequency? No Yes					25. Remotely Monitored? No Yes, Facility Name: __________________
III. LOCALIZER (ILS, SDF, LDA) or MLS AZIMUTH
26. Coordinates Lat: __ __ ° __ __ ’ __ __ . __ __ __ __” __ Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __” __					27. Elevation (MSL, in FT)				28. Equipment Type								29. Antenna Type
					30. Freq (MHz)				31. Voice ATIS APCH CTRL None					32. Dist to AER (FT)								33. Dist to DER (FT)
34. Standby Power		35. Course Width (Deg)			36. Tailored Course Width? No Yes, Width at TH: __________________ FT									37. Back Course Status Usable Unusable								38. Dist / Dir Offset from RWY C/L (FT)
IV. GLIDE PATH (ILS, PAR) or MLS ELEVATION STATION
39. Coordinates Lat: __ __ ° __ __ ’ __ __ . __ __ __ __” __ Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __” __					40. Elevation (MSL, in FT)				41. Antenna Height (AGL, in FT)								42. Equipment Type
					43. Freq (MHz)				44. Glide Angle (Deg)								45. Antenna Type
FAA FORM 7900 -
46. Aiming Point Coordinates Lat: __ __ ° __ __ ’ __ __ . __ __ __ __” __ Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __” __					47. RWY Elevation adjacent to GS (MSL, in FT)				48. Dist to AER (FT)							49. Dist / Dir Offset from RWY C/L (FT)						50. Standby Power
V. DISTANCE MEASURING EQUIPMENT
51. Coordinates Lat: __ __ ° __ __ ’ __ __ . __ __ __ __” __ Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __” __					52. Elevation (MSL, in FT)				53. Dist to AER (FT)								54. Dist to DER (FT)
					55. Standby Power				56. Channel								57. Dist / Dir Offset from RWY C/L (FT)
VI. INNER MARKER
58. Coordinates Lat: __ __ ° __ __ ’ __ __ . __ __ __ __” __ Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __” __					59. Elevation (MSL, in FT)			60. Dist to AER (FT)							61. Dist to DER (FT)							62. Dist / Dir Offset from RWY C/L (FT)
VII. MIDDLE MARKER
63. Coordinates Lat: __ __ ° __ __ ’ __ __ . __ __ __ __” __ Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __” __					64. Elevation (MSL, in FT)			65. Dist to AER (FT)						66. Dist to DER (FT)								67. Dist / Dir Offset from RWY C/L (FT)
VIII. OUTER MARKER
68. Coordinates Lat: __ __ ° __ __ ’ __ __ . __ __ __ __” __ Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __” __					69. Elevation (MSL, in FT)			70. Dist to AER (FT)						71. Dist to DER (FT)								72. Dist / Dir Offset from RWY C/L (FT)
					73. Name			74. Facility Type Marker Only LOM (Marker/NDB)						75. Class								76. Freq (MHz)
IX. REMARKS

FAA FORM 7900-