Copy of Copy of Air-Tour-Operators-Report-Template_508rev_20200605.xlsx

---

Overview

Reporting_Form
Example

---

Sheet 1: Reporting_Form

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:						FAA Information: Go to http://www.faa.gov/about/office_org/field_offices/fsdo/ for more information.
dba (doing business as):						Name of Assigned POI:
Certificate Designator:						Name of Assigned FSDO:
Reporting Period:	Click on cell; select from dropdown		Reporting Year:	2020		FSDO Phone No.:
Notes:
Location Information				Aircraft Information
National Park Service Unit Name(s):		Alpha-Code(s):	Departure Airports/Helipads:	Aircraft Tail Number(s):
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Air Tour Data Submission				Route Information
Date of Tour	Hour of Tour	Aircraft Make/Model	Park-Route Code	Route Code:	Route Name:
				End of Route Information Fields. You may insert additional rows as needed.
End of Air Tour Data Submission Fields. You may insert additional rows as needed.
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.
End of Form

---

Sheet 2: Example

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):
Canyonlands National Park		CANY	XYZ	N12345
Arches National Park		ARCH	ABC
Glen Canyon National Recreation Area		GLCA
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
Park Name (pick from list)
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
				End of Route Information Fields. You may insert additional rows as needed.
End of Air Tour Data Submission Fields. You may insert additional rows as needed.
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.
End of Form