Information Collection

Aviation Medical Examiner Program

IC 25693 under ICR 200902-2120-003 · OMB 2120-0604.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0604 can be found here:

Documents and Forms

Document Name Document Type
Form FAA-8520-2 Aviation Medical Examiner Program Form
FAA-8520-2 Aviation Medical Examiner Designation Application 8520-2.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Aviation Medical Examiner Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 183

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FAA-8520-2	Aviation Medical Examiner Designation Application	8520-2.pdf		No		Paper Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 450	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.