Information Collection Request

Medical Standards and Certification

ICR 202002-2120-001 · OMB 2120-0034 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8500-14 Ophthalmological Evaluation for Glaucoma Form and Instruction Modified Repair queued
Form 8500-14 Ophthalmological Evaluation for Glaucoma Form and Instruction Modified Repair queued
Form 8500-8 Application for Airman Medical Certificate or Airman Medical and Student Pilots Form Modified Repair queued
Form 8500-8 Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate Form Modified Repair queued
Form 8500-7 Report of Eye Evaluation Form and Instruction Modified Repair queued
Form 8500-7 Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma Form and Instruction Modified Repair queued
3-4-1 MedXPress TOS PRA Statement.pdf Supplementary Document Uploaded 2020-05-08 Repair queued
Current FAA Forms 8500-7 and -14.pdf Supplementary Document Uploaded 2020-05-08 Repair queued
SORN DOT FAA 847_75 FR 68849.pdf Supplementary Document Uploaded 2020-05-08 Repair queued
USCODE-2011-title49-subtitleVII-partA-subparti-40113.pdf Supplementary Document Uploaded 2020-05-08 Repair queued
USCODE-2011-title49-subtitleVII-partA-subpartiii-44701 thru 44703.pdf Supplementary Document Uploaded 2020-05-08 Repair queued
USCODE-2011-title49-subtitleVII-partA-subpartiii-44709.pdf Supplementary Document Uploaded 2020-05-08 Available
Supporting Statement A 05.06.2020.docx Supporting Statement A Uploaded 2020-05-07 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
211732 Ophthalmological Evaluation for Glaucoma Form and Instruction ModifiedOphthalmological Evaluation for Glaucoma
211732 Ophthalmological Evaluation for Glaucoma Form and Instruction Modified
196926 Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate Form ModifiedApplication for Airman Medical Certificate or Airman Medical and Student Pilots
196926 Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate Form Modified
196924 Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma Form and Instruction ModifiedReport of Eye Evaluation
196924 Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2024 36 Months From Approved 10/31/2022
408,104 0 216,874
597,156 0 103,923
24,256,477 0 4,971,850





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate 8500-8
Ophthalmological Evaluation for Glaucoma 8500-14
Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma 8500-7

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 408,104 216,874 0 0 191,230 0
Annual Time Burden (Hours) 597,156 103,923 0 0 493,233 0
Annual Cost Burden (Dollars) 24,256,477 4,971,850 0 0 19,284,627 0


Reginfo record details
  No