New collection (Request for a new OMB Control Number)
No
Regular
Approved without change
04/29/2026
03/16/2026
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
04/30/2029
36 Months From Approved
3,000
0
0
240
0
0
0
0
0
The information collected on the Physiology Training Record is required by students attending aviation physiology training that wish to participate in hypobaric or normobaric hypoxia training. It is reviewed by the training instructor and a member of the Airman Education Program team to ensure those desiring to participate in this training have the necessary aviation medical qualification. Additionally, the âyesâ or ânoâ questions are reviewed to ensure there are no known health issues that would prevent their participation in entering a low-oxygen environment to experience their symptoms of hypoxia. To that end a person that is:
1. âTaking any medications that were not approved at the time of your last FAA medical examâ could mask a health issue or present an unexpected result during hypobaric or normobaric training operations.
2. Having âa cold or nasal congestionâ could cause problems with equalizing pressure in the ears or sinuses during hypobaric training operations.
3. Having âan ear infection now orâ¦in the past 30 daysâ could affect the ability to equalize pressure in the ears during hypobaric training operations.
4. Having a âhistory of significant ear pressure blocks during flyingâ could be an indicator of an inability to equalize pressure in the ears during hypobaric training operations.
5. Having had a âruptured eardrum since your last FAA medical examâ could indicate a health risk during hypobaric training operations.
6. Having âany symptoms of upset stomach, gas, or diarrheaâ could indicate a health risk of gas expansion during hypobaric training operations.
7. Having had âany operations or been hospitalized within the last 90 daysâ could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations.
8. Having âbeen unconscious because of illness or injury within the past 12 monthsâ could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations.
9. Having âhad convulsions or been evaluated for possible epilepsyâ could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations.
10. Having âhad any disease or surgery of the heart or vascular systemâ could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations.
11. Having âhad any disease or surgery of the lungs or chestâ could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations.
12. Having âparticipated in scuba diving during the last 24 hoursâ could increase the risk of decompression sickness during hypobaric training operations.
13. Having âdonated blood in the past 72 hoursâ could result in an accelerated onset of hypoxia and decreased recovery from hypoxia during hypobaric or normobaric training operations.
14. Having a âlow hematocrit or hemoglobinopathy (such as sickle cell anemia)â could result in an accelerated onset of hypoxia and decreased recovery from hypoxia during hypobaric or normobaric training operations.
15. Having had âaltitude sickness or prior problems with hypoxic exposure including chamber flightâ could indicate a health risk that could be exacerbated during hypobaric training operations.
16. The âpossibility that you are pregnantâ could result in an accelerated onset of hypoxia and decreased recovery from hypoxia as well as danger to the unborn baby during hypobaric or normobaric training operations.
Any questions resulting in a âyesâ answer require a brief explanation to determine if a significant risk exists and if the person should be allowed to participate in dynamic hypoxia training.
Although the information is collected, it may not be expected to be disseminated directly to the public, results may be used in scientific, management, technical or general information publications.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.