Information Collection

Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate

IC 196926 under ICR 202211-2120-005 · OMB 2120-0034.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 8500-8 Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate Form
8500-8 Application for Airman Medical Certificate or Airman Med 8500-8 with upd burden statement.pdf medxpress.faa.gov Form
8500-8 Application for Airman Medical Certificate or Airman Med 8500-8 with upd burden statement.pdf medxpress.faa.gov Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 67 14 CFR 61

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	8500-8	Application for Airman Medical Certificate or Airman Medical and Student Pilots	8500-8 with upd burden statement.pdf	https://medxpress.faa.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title: Aviation Records on Individuals	FR Citation: 75 FR 68849

Number of Respondents: 398,381	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	398,381	2,277	396,104
Annual IC Time Burden (Hours)	597,572	3,416	594,156
Annual IC Cost Burden (Dollars)	59,757,150	35,622,533	24,134,617

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.