Information Collection

Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate

IC 196926 under ICR 201405-2120-003 · OMB 2120-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0034 can be found here:

Documents and Forms

Document Name Document Type
Form 8500-8 Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate Form and Instruction
8500-8 Application for Airman Medical Certificate or Airman Med 8500-8_PRA revised.pdf medxpress.faa.gov/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate	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 61 14 CFR 67

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8500-8	Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate	8500-8_PRA revised.pdf	https://medxpress.faa.gov/	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 396,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	396,300	16,300	380,000
Annual IC Time Burden (Hours)	594,450	24,450	570,000
Annual IC Cost Burden (Dollars)	46,367,100	12,927,100	33,440,000

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.