Aviation Insurance

Forms and Documents

Document Name	Status
Form 2120-0514 Temporary Premium Program - Aircraft Schedule Update Form and Instruction	New
Form 2120-0514 Temporary Premium Program - Business Information Update Form and Instruction	New
Form 2020-0514 Temporary Premium Program - Commercial Policy Submission Form and Instruction	New
Form 2120-0514 Application for Temporary Premium Insurance Form and Instruction	New
Form 2120-0514 Application for Non-Premium Insurance Form and Instruction	Modified
Form 2120-0514 Non-Premium Prgram - Aircraft Schedule Update Form and Instruction	Modified
Form 2120-0514 Non-Premium Program - Business Information Update Form and Instruction	Modified
Form 2120-0514 Non-Premium Program - Commercial Pollicy Submission Form and Instruction	Modified
2120-0514 30-day FR Notice 2025-09230.pdf Supplementary Document	2025-05-22
2120-0514 FR Notice 2024-30955.pdf Supplementary Document	2025-04-04
2120-0514 Supporting Statement A 4-4-25 Clean.docx Supporting Statement A	2025-04-04
49 USC Ch. 443_ INSURANCE.pdf Supplementary Document	2025-01-17

IC Document Collections

IC ID	Document Title	Status
273751	Temporary Premium Program - Aircraft Schedule Update Form and Instruction	New
273749	Temporary Premium Program - Business Information Update Form and Instruction	New
273748	Temporary Premium Program - Commercial Policy Submission Form and Instruction	New
273747	Application for Temporary Premium Insurance Form and Instruction	New
25597	Application for Non-Premium Insurance Form and Instruction	Modified
233349	Non-Premium Prgram - Aircraft Schedule Update Form and Instruction	Modified
233348	Non-Premium Program - Business Information Update Form and Instruction	Modified
233347	Non-Premium Program - Commercial Pollicy Submission Form and Instruction	Modified

ICR Details

OMB Control No: 2120-0514	ICR Reference No: 202501-2120-001
Status: Received in OIRA	Previous ICR Reference No: 202203-2120-013
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: Aviation Insurance
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/28/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2025
Responses	210	114
Time Burden (Hours)	157	28
Cost Burden (Dollars)	0	0

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Abstract: This is a renewal request. Air carriers, operators that are members of the Civil Reserve Air Fleet (CRAF), or direct contractors to DoD supporting the President's initiatives are required to respond to this collection and in return receive the benefit of insurance. The FAA uses information submitted by applicants for chapter 443 insurance to identify the eligibility of parties to be insured, the amount of coverage required, and insurance premiums. The information is a voluntary submission but is necessary for an operator or air carrier to obtain FAA insurance coverage. The data is collected on an as-needed basis for each carrier requesting insurance. The information collected is as follows: -Air Carrier POC -Name -Signature -Title -Air Carrier -Name -Business address -Business phone number -Business fax -Business email address -DoD contract number -Insurance policy and certification information: -Type and amount of coverage -Aircraft type -Tail number -Aircraft registration number -Serial number The information is used to issue war risk insurance to air carriers because they cannot obtain insurance through the commercial market. All information is maintained for records to issue policies and in the event of an accident involving one of the air carrier’s aircraft. The collected information is not publicly disseminated.

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Authorizing Statute(s): US Code: 49 USC 443 Name of Law: Insurance
  

Citations for New Statutory Requirements: US Code: 49 USC 44302a Name of Law: Temporary Insurance

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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:
	89 FR 106727	12/30/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 21984	05/22/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
Application for Non-Premium Insurance	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance
Application for Temporary Premium Insurance	2120-0514	Application for FAA Temporary Premium War Risk Hull and Liability Insurance
Non-Premium Prgram - Aircraft Schedule Update	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance
Non-Premium Program - Business Information Update	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance
Non-Premium Program - Commercial Pollicy Submission	2120-0514	Application for FAA Non-Premium War Risk Hull and Liability Insurance
Temporary Premium Program - Aircraft Schedule Update	2120-0514	Application for FAA Temporary Premium War Risk Hull and Liability Insurance
Temporary Premium Program - Business Information Update	2120-0514	Application for FAA Temporary Premium War Risk Hull and Liability Insurance
Temporary Premium Program - Commercial Policy Submission	2020-0514	Application for FAA Temporary Premium War Risk Hull and Liability Insurance

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ICR Summary of Burden

	Total Request	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	210	114	66	0	30	0
Annual Time Burden (Hours)	157	28	9	0	120	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: Net changes are a possible annual burden of 129 hours and an increase in cost burden of $19,968. The public cost burden for the Non-Premium Program has been adjusted for inflation since the last report in 2022. The estimated public hours and cost burden for the Temporary Premium Program has been added.

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Annual Cost to Federal Government: $6,042

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? No

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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: 05/28/2025

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