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OMB Control No: 2120-0761	ICR Reference No: 202404-2120-003
Status: Received in OIRA	Previous ICR Reference No: 202010-2120-002
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: Helicopter Air Ambulance Operator Reports
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/12/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	65	62
Time Burden (Hours)	765	738
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	65	62	3
Annual Time Burden (Hours)	765	738	27
Annual Cost Burden (Dollars)	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: The number of small and large operators was adjusted to 2023 levels. The wage rates for both Administrative Assistants and Aviation Safety Inspectors in questions 12 and 14 were updated.

Annual Cost to Federal Government: $8,290

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

Agency Contact: Sandra Ray 724 272-6756 sandra.ray@faa.gov