Information Collection Request

Medical Standards and Certification

ICR 202211-2120-005 · OMB 2120-0034 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2120-0034 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form 8500-14 Ophthalmological Evaluation for Glaucoma	Form and Instruction	Unchanged	Missing upstream
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, Ophthalmologic Evaluation for Glaucoma	Form and Instruction	Unchanged	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	Repair queued
2120-0034 Commercial Balloons Final Rule 112222.docx	Supporting Statement A	Uploaded 2022-11-22	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
211732	Ophthalmological Evaluation for Glaucoma	Form and Instruction	Unchanged
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	Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	DOT/FAA
OMB Control No	2120-0034
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202002-2120-001
Agency Tracking No	READY FOR FAA REVIEW - RULE PUBLISHES NOV 22
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	2022-11-23