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Medical Exemption Petition (operational Questionnaire) - Far 67

IC 141395 under ICR 198403-2120-002 · OMB 2120-0069.

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MEDICAL EXEMPTION PETITION (OPERATIONAL QUESTIONNAIRE) - FAR 67
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FAA 8500-20 No No


    

150 0
   
Individuals or Households
 
   0 %

  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 150 0 0 0 0 150
Annual IC Time Burden (Hours) 25 0 0 0 0 25
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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