Information Collection Request

Medical Standards and Certification

ICR 202211-2120-005 · OMB 2120-0034 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8500-14 Ophthalmological Evaluation for Glaucoma Form and Instruction Unchanged Available
Form 8500-14 Ophthalmological Evaluation for Glaucoma Form and Instruction Unchanged Repair queued
Form 8500-8 Application for Airman Medical Certificate or Airman Medical and Student Pilots Form Modified Available
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 Unchanged Available
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

Information collection document groups
IC IDCollectionTypeStatusForm
211732 Ophthalmological Evaluation for Glaucoma Form and Instruction UnchangedOphthalmological Evaluation for Glaucoma
211732 Ophthalmological Evaluation for Glaucoma Form and Instruction Unchanged
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 UnchangedReport of Eye Evaluation
196924 Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2025 36 Months From Approved 10/31/2024
410,381 0 408,104
600,572 0 597,156
59,879,010 0 24,256,477





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 Request 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 410,381 408,104 0 2,277 0 0
Annual Time Burden (Hours) 600,572 597,156 0 3,416 0 0
Annual Cost Burden (Dollars) 59,879,010 24,256,477 0 35,622,533 0 0


Reginfo record details
  No