Information Collection Request

Alternative Pilot Physical Examination and Education Requirements (BasicMed)

ICR 202504-2120-020 · OMB 2120-0770 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8700-2 BasicMed Checklist for Doctors Form and Instruction Modified Available
Form 8700-2 BasicMed Comprensive Medical Examination Checklist - Physician Form and Instruction Modified Repair queued
Form 8700-2 BasicMed Comprehensive Medical Examination Checklist Form and Instruction Modified Available
Form 8700-2 BasicMed Comprensive Medical Examination Checklist - Pilot Form and Instruction Modified Repair queued
Justification for NSC 2120-0770.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-14 Available
Justification for NSC 2120-0770.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-14 Repair queued
2120-0770 03-28-23.docx Supporting Statement A Uploaded 2023-03-28 Available
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 Available
Statutory Authority 2120-0770.docx Supplementary Document Uploaded 2020-03-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
259357 BasicMed Comprensive Medical Examination Checklist - Physician Form and Instruction ModifiedBasicMed Checklist for Doctors
259357 BasicMed Comprensive Medical Examination Checklist - Physician Form and Instruction Modified
240834 Course Completion Certificate Instruction Unchanged
226106 BasicMed Comprensive Medical Examination Checklist - Pilot Form and Instruction ModifiedBasicMed Comprehensive Medical Examination Checklist
226106 BasicMed Comprensive Medical Examination Checklist - Pilot Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2026 06/30/2026 06/30/2026
50,000 0 50,000
28,125 0 28,125
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
BasicMed Comprensive Medical Examination Checklist - Physician 8700-2
BasicMed Comprensive Medical Examination Checklist - Pilot 8700-2
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 50,000 50,000 0 0 0 0
Annual Time Burden (Hours) 28,125 28,125 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No