Information Collection

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

IC 196926 under ICR 201601-2120-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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 67 14 CFR 61

Information Collection Instruments:

table that charts list of 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: 378,782

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	378,782	-17,518	396,300
Annual IC Time Burden (Hours)	568,173	-26,277	594,450
Annual IC Cost Burden (Dollars)	13,469,488	-32,897,612	46,367,100

Documents for IC

table that charts IC Documents
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.