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pdfINFORMATION FOR PUBLIC
RESPONDENT
U.S. Department
of Transportation
Federal Aviation
Administration
SPECIAL ACTIVITY AREA (SAA) DATA FORM
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 20 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: XX/XX/XXXX
Page: __ of
Initials:
ID: _____________
SPECIAL ACTIVITY AREA (SAA) DATA FORM
I. SUBMISSION
1. Name
2. Organization
3. Date
4. Email
5. Phone
6. Authorizing Official/Title/Routing Symbol
7. Purpose of Submission:
New Area - Complete as much of the form as possible
8. Proposed Effective Date
Changes to Existing Area - Complete the items necessary to describe change(s)
Cancel Area - Complete items 1 - 12
II. GENERAL DATA
9. SAA Area Type
10. SAA Area Use 11. Associated Facility (check all that apply)
Airport, ID:
Civil
P
Other
Military
NAVAID, ID:
Joint
Other:
12. Center Point Coordinates
Lat:
__ __ ° __ __’ __ __. __ __” __
Long: __ __ __ ° __ __’ __ __. __ __ ” __
FSS, ID:
13. Radius around Center Point(NM)
17. ATC Contact Facility
14.. Local Time of Use
18. Contact Frequency (MHz)
15. Maximum Altitude (MSL, in ft.)
19. Area Name (if applicable)
16. Minimum Altitude (MSL, in ft.)
20. Nearest City/Town and State
21. Include on
VFR Chart?
No
Yes
III. REMARKS
FAA Form 7900 – X(X/XX)
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 4 of the order for faxing and mailing instructions.
File Type | application/pdf |
Author | Jon Abes |
File Modified | 2013-05-02 |
File Created | 2013-04-15 |