View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
NASA Aviation Safety Reporting System (ASRS) and Related Voluntary Safety Reporting System (VSRS)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
14 CFR 91.25
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
ARC 277B
ASRS General Form
ASRS form- General_051419.pdf
https://asrs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Form
ARC 277#
Rotary Wing
ASRS_RotaryWing_PRAb.pdf
https://asrs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Form
ARC 277#
UAS
ASRS UAS_2019-06-21.pdf
https://asrs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Form
ARC 277A
ATC
controller_July 2017_PRA.pdf
https://asrs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Form
ARC 277D
Maintenance
mechanic_July2017_PRA.pdf
https://asrs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Form
ARC 277C
Cabin Crew
cabin_July2017_PRA.pdf
https://asrs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Other-ASRS screenshots
NASA ASRS ERS screeenshot_june232019.pptx
https://asrs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Form
ARC 277H
C3RS Engineering Form
C3RS_EngineeringForm_PRA.pdf
https://c3rs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Form
ARC 277G
C3RS Mechanical
C3RS_MechanicalForm_PRA.pdf
https://c3rs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Form
ARC 277F
C3RS Transportation
C3RS_TransportationForm_PRA.pdf
https://c3rs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Other-C3RS screenshots
NASA C3RS ERS screenshots.pptx
https://c3rs.arc.nasa.gov
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Science and Innovation
Subfunction:
Scientific and Technological Research and Innovation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
67,173
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
67,173
0
67,173
0
0
0
Annual IC Time Burden (Hours)
33,587
0
33,587
0
0
0
Annual IC Cost Burden (Dollars)
1,807,652
0
1,807,652
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.