Information Collection Request

Alternative Pilot Physical Examination and Education Requirements (BasicMed)

ICR 202003-2120-003 · OMB 2120-0770 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8700-2 BasicMed Comprensive Medical Examination Checklist Form and Instruction Modified Available
2120-0770 Supporting Statement 032420.docx Supporting Statement A Uploaded 2020-03-24 Available
Statutory Authority 2120-0770.docx Supplementary Document Uploaded 2020-03-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
240834 Course Completion Certificate Instruction New
226106 BasicMed Comprensive Medical Examination Checklist Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2023 36 Months From Approved 05/31/2020
37,500 0 453,993
28,125 0 158,898
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
BasicMed Comprensive Medical Examination Checklist 8700-2 BasicMed Comprehensive Medical Examination Checklist
Course Completion Certificate

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 37,500 453,993 0 0 -416,493 0
Annual Time Burden (Hours) 28,125 158,898 0 0 -130,773 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No