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Passenger Facility Charge (PFC) Application - Amendment
Passenger Facility Charge (PFC) Application
OMB: 2120-0557
IC ID: 228349
OMB.report
DOT/FAA
OMB 2120-0557
ICR 202406-2120-002
IC 228349
( )
Documents and Forms
Document Name
Document Type
Form 5500-1
Passenger Facility Charge (PFC) Application - Amendment
Form
14 CFR Part 158.doc
www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=9cd1b12b1ed95ca805342034af9edeb9&rgn=div5&view=text&node=14:3.0.1.3.28&idno=14
Instruction
5500-1 Passenger Facility Charge (PFC) Application
5500-1 PFC Application 2024 draft.pdf
Form
5500-2 PFC Amendment Request Form
5500-2 Amendment Request draft.xlsx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Passenger Facility Charge (PFC) Application - Amendment
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
14 CFR 158
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
5500-1
Passenger Facility Charge (PFC) Application
5500-1 PFC Application 2024 draft.pdf
Yes
Yes
Fillable Fileable Signable
Instruction
14 CFR Part 158.doc
http://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&SID=9cd1b12b1ed95ca805342034af9edeb9&rgn=div5&view=text&node=14:3.0.1.3.28&idno=14
Yes
No
Printable Only
Form and Instruction
5500-2
PFC Amendment Request Form
5500-2 Amendment Request draft.xlsx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Air Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
100
0
0
-30
0
130
Annual IC Time Burden (Hours)
1,600
0
0
-480
0
2,080
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.