OMB No: 2138-0009, Expiration Date: 9/30/2011
Paperwork Reduction Act Burden Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2138-0009. Public reporting for Form 298-C, Schedule F-2, Report of Aircraft Operating Expenses and Related Statistics is estimated to be approximately 10 hours per response, including the time for reviewing instructions, completing and reviewing the collection of information. All responses to this collection of information are mandatory. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Bernie Stankus, OAI/BTS/RITA, RTS-42, Room 4125, 1200 New Jersey Avenue, SE, , Washington, D.C. 20590 or e-mail – bernard.stankus@dot.gov.
Air Carrier (Corporate Name): _____________________
Carrier Code: _____________________
Carrier Entity Code: _____________________
Quarter Ended: _____________________
Year: _____________________
| Total All Aircraft |
Aircraft Type 1 Code: |
Aircraft Type 2 Code: |
Aircraft Type 3 Code: |
|
|---|---|---|---|---|
| 1. Fuel Issued in Gallons | ||||
| Direct Expenses: | ||||
| 2 .Pilot and Copilot | ||||
| 3. Aircraft Fuel & Oil | ||||
| 4. Hull Insurance | ||||
| 5. Third Party Liability Insurance | ||||
| 6. Passenger Liability Insurance | ||||
| 7. Maintenance of Flight Equipment | ||||
| 8. Depreciation/Rental of Flight Equipment | ||||
| 9. Total Direct Expenses Sum of lines 2 thru 8: |
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| 9A. Revenue Block Hours (by Aircraft Type) |
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| Indirect Expenses: | ||||
| 10. Flight Attendants | ||||
| 11. Traffic Related | ||||
| 12. Departure/Station | ||||
| 13. Capacity/Administrative | ||||
| 14. Total Indirect
Expenses Sum of lines 10 thru 13: |
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| 15. Total Operating Expenses Sum of lines 9 and 14: |
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| 16. Transport Related Expenses: |
For information regarding the 298-C Financial Reporting, please call the Office of Airline Information at 202-366-9059 or send your inquiry by email to: 298c.Support@dot.gov