Information Collection Request
Alternative Pilot Physical Examination and Education Requirements (BasicMed)
ICR 202302-2120-002 · OMB 2120-0770 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2120-0770 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 8700-2 BasicMed Comprensive Medical Examination Checklist - Physician |
Form and Instruction | New | Repair queued |
| Form 8700-2 BasicMed Comprensive Medical Examination Checklist - Pilot |
Form and Instruction | Modified | Repair queued |
 2120-0770 03-28-23.docx |
Supporting Statement A | Uploaded 2023-03-28 | Repair queued |
| Statutory Authority 2120-0770.docx |
Supplementary Document | Uploaded 2020-03-23 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 259357 |  BasicMed Comprensive Medical Examination Checklist - Physician |
Form and Instruction | New | |
| 240834 | Course Completion Certificate |
Instruction | Unchanged | |
| 226106 | BasicMed Comprensive Medical Examination Checklist - Pilot |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | DOT/FAA |
| OMB Control No | 2120-0770 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202003-2120-003 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |