Information Collection Request

Alternative Pilot Physical Examination and Education Requirements (BasicMed)

ICR 202605-2120-003 · OMB 2120-0770 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 8700-2 BasicMed Checklist for Doctors Form and Instruction Unchanged Available
Form 8700-2 BasicMed Comprehensive Medical Examination Checklist Form and Instruction Unchanged Available
2026-12786.pdf Supplementary Document Uploaded 2026-06-25 Available
Justification for NSC 2120-0770.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-04-14 Available
2120-0770 5-5-26.docx Supporting Statement A Uploaded 2026-05-05 Available
Statutory Authority 2120-0770.docx Supplementary Document Uploaded 2020-03-23 Available

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 07/31/2026
50,000 50,000
28,125 28,125
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 Request 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