Commercial Air Tour Reporting Data |
As Mandated by the FAA Modernization and Reform Act of 2012, Title V, Section 501 |
Please Fill In Shaded Areas Below Where and As Appropriate |
Note: Guidance is included in each cell and the first cell of each section. |
Paperwork Reduction Act Burden 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 2120-0750. Public reporting for this collection of information is estimated to be approximately 3-24 hours 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 to this collection of information are mandatory per The FAA Modernization and Reform Act of 2012. 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. |
OMB CONTROL NUMBER 2120-0750 |
Expiration Date 12/31/2020 |
Operator/Company Name: |
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FAA Information: Go to http://www.faa.gov/about/office_org/field_offices/fsdo/ for more information. |
dba (doing business as): |
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Name of Assigned POI: |
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Certificate Designator: |
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Name of Assigned FSDO: |
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Reporting Period: |
Click on cell; select from dropdown |
Reporting Year: |
2020 |
FSDO Phone No.: |
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Notes:
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Location Information |
Aircraft Information |
National Park Service Unit Name(s): |
Alpha-Code(s): |
Departure Airports/Helipads: |
Aircraft Tail Number(s): |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Air Tour Data Submission |
Route Information |
Date of Tour |
Hour of Tour |
Aircraft Make/Model |
Park-Route Code |
Route Code: |
Route Name: |
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End of Route Information Fields. You may insert additional rows as needed. |
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End of Air Tour Data Submission Fields. You may insert additional rows as needed. |
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Paperwork Reduction Act Burden 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 2120-0750. Public reporting for this collection of information is estimated to be approximately 4-16 hours 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 to this collection of information are mandatory per The FAA Modernization and Reform Act of 2012. 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. |
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End of Form |
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|
Commercial Air Tour Reporting Data |
As Mandated by the FAA Modernization and Reform Act of 2012, Title V, Section 501 |
Please Fill In Shaded Areas Below Where and As Appropriate |
Note: Guidance is included in each cell and the first cell of each section. |
Paperwork Reduction Act Burden 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 2120-0750. Public reporting for this collection of information is estimated to be approximately 4-16 hours 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 to this collection of information are mandatory per The FAA Modernization and Reform Act of 2012. 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. |
OMB CONTROL NUMBER 2120-0750 |
Revised 12/15/2018 |
Operator/Company Name: |
Air Tour Company |
FAA Information: Go to http://www.faa.gov/about/office_org/field_offices/fsdo/ for more information. |
dba (doing business as): |
Great Tours |
Name of Assigned POI: |
J. B. Smith |
Certificate Designator: |
XYZABC123 |
Name of Assigned FSDO: |
XYZ FSDO |
Reporting Period: |
January 1 - June 30 |
Reporting Year: |
2020 |
FSDO Phone No.: |
555-555-5555 |
Notes:
|
No flights over CARE in this quarter |
|
|
Location Information |
Aircraft Information |
National Park Service Unit Name(s): |
Alpha-Code(s): |
Departure Airports/Helipads: |
Aircraft Tail Number(s): |
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Canyonlands National Park |
CANY |
XYZ |
N12345 |
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Arches National Park |
ARCH |
ABC |
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Glen Canyon National Recreation Area |
GLCA |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Park Name (pick from list) |
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Air Tour Data Submission |
Route Information |
Date of Tour |
Hour of Tour |
Aircraft Make/Model |
Park-Route Code |
Route Code: |
Route Name: |
1/1/2018 |
8 |
Cessna 208 |
CANY - BigMtn |
BigMtn |
Big Mountain, Snowy Lake |
1/1/2018 |
8 |
Cessna 208 |
CANY,ARCH - BigMtnG |
BigMtnG |
Big Mountain, Snowy Lake, Great Basin |
1/2/2018 |
7 |
Cessna 208 |
GLCA - Meadow |
Meadow |
Meadow Overlook, Deep Lake |
1/2/2018 |
9 |
Cessna 208 |
ARCH - TallPk |
TallPk |
Tall Peak |
1/3/2018 |
15 |
Cessna 208 |
ARCH - TallPk |
|
|
1/4/2018 |
10 |
Cessna 208 |
CANY - BigMtn |
|
|
1/5/2018 |
11 |
Cessna 208 |
CANY,ARCH - BigMtnG |
|
|
1/5/2018 |
13 |
Cessna 208 |
GLCA - Meadow |
|
|
1/5/2018 |
15 |
Cessna 208 |
ARCH - TallPk |
|
|
1/10/2018 |
9 |
Cessna 208 |
ARCH - TallPk |
|
|
1/15/2018 |
9 |
Cessna 208 |
GLCA - Meadow |
|
|
1/15/2018 |
14 |
Cessna 208 |
ARCH - TallPk |
|
|
1/16/2018 |
8 |
Cessna 208 |
CANY,ARCH - BigMtnG |
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End of Route Information Fields. You may insert additional rows as needed. |
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End of Air Tour Data Submission Fields. You may insert additional rows as needed. |
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Paperwork Reduction Act Burden 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 2120-0750. Public reporting for this collection of information is estimated to be approximately 4-16 hours 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 to this collection of information are mandatory per The FAA Modernization and Reform Act of 2012. 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. |
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End of Form |
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