Extension without change of a currently approved collection
No
Regular
05/29/2020
Requested
Previously Approved
36 Months From Approved
01/31/2021
408,104
216,874
597,156
103,923
24,256,477
4,971,850
Individuals seeking to exercise pilot
privileges are required to obtain a FAA medical certificate per 14
CFR §61.3(c) and §67.4. The collection is mandatory to be reported
on occasion (as needed) based on the duration of the three classes
of medical certificates as specified in 14 CFR §61.3(d) and will
vary among respondents. The FAA collects this medical information
only when an individual initially applies for or renews a FAA
medical certificate. All applications and supporting documentation
received are for decision-making and recordkeeping purposes.
Respondents provide private medical information in order to meet
FAA standards; their applications contain personally identifying
information (PII). The application contains questions regarding
medical history, the usage of medication, recent visits to a health
professional, etc. It is anticipated that the information collected
will be disseminated to Aviation Medical Examiners (i.e. public
physicians designated by the FAA) through an automated system or
used to support publicly disseminated information. The FAA Office
of Aerospace Medicine will retain control over the information and
safeguard it from improper access, modification, and destruction,
consistent with FAA standards for confidentiality, privacy, and
electronic information. See response to Question 10 of this
Supporting Statement for more information on confidentiality and
privacy. The information collection is designed to yield data that
meet all applicable information quality guidelines. The FAA assigns
a unique Pathology Index number (called a PI#) to each respondent’s
application. Renewal applicants maintain the same PI# as their
unique identifier for the lifecycle of their applications with the
FAA. Following is a brief description of the purpose of this
medical information collection: FAA Form 8500-7, Report of Eye
Evaluation: Applicants who do not meet distant visual acuity
standards and who desire an Authorization for Special Issuance of a
Medical Certificate must submit FAA Form 8500-7 for evaluation and
determination by FAA physicians. FAA Form 8500-8, Application for
Airman Medical Certificate or Airman Medical and Student Pilot
Certificate: Applicants complete this form to make application for
an FAA medical certificate. FAA-designated Aviation Medical
Examiners (AMEs) perform a medical examination and, based on the
applicants’ input, work with Agency physicians to assess an
applicant’s medical fitness. FAA Form 8500-14, Ophthalmological
Evaluation for Glaucoma: Applicants with glaucoma must submit FAA
Form 8500-14 so that FAA physicians can make determinations
regarding permissible operational flight activities commensurate
with their medical condition and public safety.
US Code:
49
USC 44709 Name of Law: Amendments, modifications, suspensions,
and revocations of certificates
US Code: 49
USC 40113 Name of Law: Administrative
US Code: 49
USC 44702 Name of Law: Issuance of certificates
US Code: 49
USC 44701 Name of Law: General requirements
US Code: 49
USC 44703 Name of Law: Airman certificates
In January 2016, the FAA Office
of Aerospace Medicine submitted a package requesting to make
revisions to Form 8500-8. In that package submission, FAA data
indicated a total of 396,782 respondents; 378,782 for 8500-8, the
general medical application; and 18,000 for FAA forms 8700-7 or
8700-14 for vision examinations. In March 2017, an FAA rulemaking
team submitted a package to revise the burden on FAA Form 8500-8
based on rulemaking action to codify Section 2307 Public Law
Section 2307 of Public Law 114-190, the FAA Extension, Safety, and
Security Act of 2016 (FESSA) into Title 14 of the Code of Federal
Regulations (see 82 FR 3149; January 11, 2017. ) As part of that
action, the team predicted the agency would see 179,498 fewer
respondents. (They predicted 198,847 versus the 378,345 respondents
actually received). Subtracting the 378,345 from the 198,847
respondents yields a difference of 179,498 respondents and this was
not realized. The FAA has not taken any action to increase burden
on respondents since the last renewal and the projected revision
associated with the rulemaking. For this renewal, the Agency
actually received an increase in 8500-8 applications by 17,322:
from 378,782 for CY 2015 to 396,104 for CY 2019. As such, the
difference in respondents should not be construed as increase in
burden. It is simply a matter of the actual effect of the FESSA
rule not being realized in the 2120-0034 collection. Further, an
increase in applicants is not unusual; nor is it predictable from
year to year. In addition, the salary rates of Legal Instrument
Examiners, respondents, and Physicians also increased.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form 8500-14 Ophthalmological Evaluation for Glaucoma
3-4-1 MedXPress TOS PRA Statement.pdf
Supporting Statement A 05.06.2020.docx
Ophthalmological Evaluation for Glaucoma