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BasicMed Comprensive Medical Examination Checklist - Physician

IC 259357 under ICR 202504-2120-020 · OMB 2120-0770.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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BasicMed Comprensive Medical Examination Checklist - Physician
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 8700-2 BasicMed Checklist for Doctors FAA_Form_8700-2_OMB_EXP_06-2026.pdf https://www.faa.gov/forms/index.cfm/go/document.information/documentID/1030366 Yes Yes Fillable Fileable Signable

Transportation Air Transportation

 

12,500 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 12,500 0 0 0 0 12,500
Annual IC Time Burden (Hours) 3,125 0 0 0 0 3,125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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