Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma

Medical Standards and Certification

OMB: 2120-0034

IC ID: 196924

Information Collection (IC) Details

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Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma
 
No Modified
 
Mandatory
 
14 CFR 67 14 CFR 61

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 8500-7 Report of Eye Evaluation 8500-7 with upd burden statement.pdf https://www.faa.gov/forms/index.cfm/go/document.information/documentID/185784 Yes Yes Fillable Printable

Transportation Air Transportation

Aviation Records on Individuals  75 FR 68849

6,000 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,000 0 0 -3,000 0 9,000
Annual IC Time Burden (Hours) 1,500 0 0 -750 0 2,250
Annual IC Cost Burden (Dollars) 60,930 0 0 60,930 0 0

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