Passenger Facility Charge (PFC) Application

Forms and Documents

Document Name	Status
Form 5500-1 Passenger Facility Charge (PFC) Application -Hub Form	Modified
Form 5500-1 Passenger Facility Charge (PFC) Application- Amendment Form	New
Form 5500-1 Passenger Facility Charge (PFC) Application- Extension Form	New
Form 5500-1 Passenger Facility Charge (PFC) Application-Non-Hub Form	New
2120-0557 2017 blh no terms.docx Supporting Statement A	2017-09-18

IC Document Collections

IC ID	Document Title	Status
25628	Passenger Facility Charge (PFC) Application -Hub Form	Modified
228359	Air Carrier audit PFC accounts Instruction	New
228358	Air Carrier maintain separate PFC accounting records Instruction	New
228357	Public Agency audit PFC projects Instruction	New
228356	Public Agency maintain separate PFC accounting records Instruction	New
228355	Covered carrier prepares separate accounting statement for FAA Review Instruction	New
228354	Air Carrier send rpt qrtly to Public Agency on PFC activity Instruction	New
228353	Public Agency rpt on fscl yr PFC activity to FAA Instruction	New
228352	Public Agency send qrtly PFC rpt to air carriers Instruction	New
228351	Covered Carrier Transfer Funds Daily to PFC Account Instruction	New
228350	Public Agency Notify Air Carrier of PFC	New
228349	Passenger Facility Charge (PFC) Application- Amendment Form	New
228348	Passenger Facility Charge (PFC) Application- Extension Form	New
228347	Passenger Facility Charge (PFC) Application-Non-Hub Form	New

ICR Details

OMB Control No: 2120-0557	ICR Reference No: 201709-2120-015
Status: Active	Previous ICR Reference No: 201308-2120-003
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: Passenger Facility Charge (PFC) Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/06/2017
	Date Received in OIRA: 09/30/2017
Terms of Clearance: The agency corrected its burden estimates.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	36 Months From Approved	12/31/2017
Responses	3,080	0	2,164
Time Burden (Hours)	22,684	0	19,400
Cost Burden (Dollars)	0	0	0

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Abstract: This collection requires public agencies and certain members of the aviation industry to prepare and submit applications and reports to the FAA.. 49 U.S.C. 40117 authorizes airports to impose passenger facility charges (PFC). PFC provide additional funding for airport development which is needed now and in the future.

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Authorizing Statute(s): US Code: 49 USC 40117 Name of Law: Passenger Facility Fees
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 27943	06/19/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 40620	08/25/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
Covered Carrier Transfer Funds Daily to PFC Account
Public Agency send qrtly PFC rpt to air carriers
Public Agency rpt on fscl yr PFC activity to FAA
Air Carrier send rpt qrtly to Public Agency on PFC activity
Covered carrier prepares separate accounting statement for FAA Review
Public Agency maintain separate PFC accounting records
Public Agency audit PFC projects
Air Carrier maintain separate PFC accounting records
Air Carrier audit PFC accounts
Passenger Facility Charge (PFC) Application -Hub	5500-1	Passenger Facility Charge (PFC) Application
Passenger Facility Charge (PFC) Application-Non-Hub	5500-1	Passenger Facility Charge (PFC) Application
Passenger Facility Charge (PFC) Application- Extension	5500-1	Passenger Facility Charge (PFC) Application
Passenger Facility Charge (PFC) Application- Amendment	5500-1	Passenger Facility Charge (PFC) Application
Public Agency Notify Air Carrier of PFC

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,080	2,164	0	0	916	0
Annual Time Burden (Hours)	22,684	19,400	0	0	3,284	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request is for a revision of a currently approved collection. The burden hours have increased as more public agencies have submitted applications. The average public agency is approved to collect PFCs for another five or more years. Also, public wage figures have been updated from the previous submission to reflect current rates.

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Annual Cost to Federal Government: $1,537,336

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/30/2017

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