Technical Reference Data Record
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Technical Reference Data Record Form. This is a Official Federal Forms form and can be use in Federal Aviation Administration (FAA).
Tags: Technical Reference Data Record, FAA 6030-17, Official Federal Forms Federal Aviation Administration (FAA),
Paperwork Reduction Act Statement: This form requires that the sponsor fill out this form at the end of commissioning their facility, which will include equipment adjustments
and all meter readings. We estimate 113 commissionings annually and FAA Form 6030-17 requires 1 hour to complete. Completion of this form is mandatory. An agency may
not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid OMB number. The OMB number associated with
this collection is 2120-0014. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence
Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ABA 20.
TECHNICAL REFERENCE DATA RECORD
Cost Center Code
Facility Alpha Code
Reference Handbook/Directive (Number and Title/Subject)
Other data specified by the Washington or Regional Offices:
FAA Form 6030-17 (6/00)
Electronic Version (Adobe)
OMB 2120-0014 02/28/2009
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