View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
2120-0514
ICR Reference No:
202501-2120-001
Status:
Active
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
OIRA Conclusion Action:
Approved without change
Conclusion Date:
09/14/2026
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/28/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2029
36 Months From Approved
09/30/2026
Responses
210
0
114
Time Burden (Hours)
157
0
28
Cost Burden (Dollars)
0
0
0
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.
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
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
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
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
ICR Summary of Burden
Total Approved
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.
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
Agency Contact:
Stacy Ditto 301 746-2821 stacy.m.ditto@faa.gov
Common Form ICR:
No
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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