Download:
pdf |
pdfINFORMATION 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 2120-0754. 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.
O.M.B Approval No. 2120-0754
Expiration : 07/31/2013
Pages __ of ___
Initials: _____
ILS ID: _____
INSTRUMENT LANDING SYSTEM (ILS) DATA
I. SUBMISSION
1. Name
2. Organization
3. Date
4. Email
5. Phone
6. Authorizing Official
7. Purpose of Submission:
8. Are any changes being made to the runway associated
with this ILS (e.g., new RWY thld, displ thld, RWY length,
RWY width)?
Changes to Existing System - Complete all items
necessary to describe the change(s)
New System - Complete as much of the form as possible
No
Decommission System - Complete Items 10-11,16-18
Yes (add RWY data source in REMARKS)
9. Proposed Effective
Date
II. GENERAL
10. Facility ID
11. Facility Type
12. Owner Type
ILS
SDF/DME
Military
16. Airport Name
17. Airport Loc ID
20. Approach RWY End 21. Apch Bearing (Deg)
Number
14. Mag Variation
13. ILS Classification
a. CAT
b. TOL
c. I/C
Mag Var: __________
I
III
A
N/A
4 4
Level
Epoch Yr: _________
15. Owner
18. Location (City, State, Country)
22. Geodetic Datum
Hor:
23. Transmitter
WGS84
Single
Vert:
Dual
EGM96
NA
19. Operator
24. Dual
Frequency?
25. Remotely Monitored?
No
No
Yes, Facility Name:
__________________
Yes
III. LOCALIZER (ILS, SDF, LDA) or MLS AZIMUTH
26. Coordinates
27. Elevation (MSL, in
FT)
__ __ ° __ __ ’ __ __ . __ __ __ __”
__
Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __”
__
Lat:
28. Equipment Type
29. Antenna Type
4D
OTHER
30. Freq (MHz)
31. Voice
32. Dist to AER (FT)
33. Dist to DER (FT)
37. Back Course
Status
38. Dist / Dir Offset
from RWY C/L (FT)
ATIS
APCH CTRL
None
34. Standby Power
35. Course Width (Deg)
36. Tailored Course Width?
No
Battery
None
Yes, Width at TH:
Usable
__________________ FT
Unusable
IV. GLIDE PATH (ILS, PAR) or MLS ELEVATION STATION
39. Coordinates
__ __ ° __ __ ’ __ __ . __ __ __ __”
__
Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __”
__
Lat:
46. Aiming Point Coordinates
__ __ ° __ __ ’ __ __ . __ __ __ __”
__
Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __”
__
Lat:
40. Elevation (MSL, in
FT)
41. Antenna Height (AGL, in FT)
42. Equipment Type
43. Freq (MHz)
44. Glide Angle (Deg)
45. Antenna Type
CE
OTHER
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
Battery
None
FAA Form 7900-6 (1/13)
Page 1
INSTRUMENT LANDING SYSTEM (ILS) DATA
Pages ___ of ___
Initials: ___
ILS ID: ___
V. DISTANCE MEASURING EQUIPMENT
51. Coordinates
__ __ ° __ __ ’ __ __ . __ __ __ __”
__
Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __”
__
Lat:
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)
Battery
None
VI. INNER MARKER
58. Coordinates
59. Elevation (MSL, in
FT)
__ __ ° __ __ ’ __ __ . __ __ __ __”
__
Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __”
__
Lat:
60. Dist to AER (FT)
61. Dist to DER (FT)
62. Dist / Dir Offset from
RWY C/L (FT)
65. Dist to AER (FT)
66. Dist to DER (FT)
67. Dist / Dir Offset from
RWY C/L (FT)
69. Facility Type
70. Class
71. Freq (MHz)
VII. MIDDLE MARKER
63. Coordinates
Lat:
__ __ ° __ __ ’ __ __ . __ __ __ __”
Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __”
64. Elevation (MSL, in
FT)
__
__ 68. Name
Marker Only
LMM
LMM (Marker/NDB)
VIII. OUTER MARKER
72. Coordinates
Lat:
__ __ ° __ __ ’ __ __ . __ __ __ __”
Long: __ __ __ ° __ __ ’ __ __ . __ __ __ __”
73. Elevation (MSL, in
FT)
74. Dist to AER (FT)
75. Dist to DER (FT)
76. Dist / Dir Offset from
RWY C/L (FT)
78. Facility Type
79. Class
80. Freq (MHz)
__
__ 77. Name
Marker Only
LOM (Marker/NDB)
LOM
LOM
IX. REMARKS
FAA Form 7900-6 (1/13)
Please refer to NFDC website (https://nfdc.faa.gov/) for the most current version of this form and to submit data
electronically. In the event the website is unavailable, please complete a hard copy of the form and fax or mail the
completed form to the FAA. See page 3 of the order for faxing and mailing instructions.
Page 2
File Type | application/pdf |
Author | Jon Abes |
File Modified | 2013-03-13 |
File Created | 2012-11-26 |