Information Collection

BasicMed Comprensive Medical Examination Checklist - Physician

IC 259357 under ICR 202605-2120-003 · OMB 2120-0770.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8700-2 BasicMed Checklist for Doctors BasicMed Comprensive Medical Examination Checklist - Physician	Form and Instruction
8700-2 BasicMed Checklist for Doctors FAA_Form_8700-2_OMB_EXP_06-2026.pdf www.faa.gov/forms/index.cfm/go/document.information/documentID/1030366	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8700-2			https://www.faa.gov/forms/index.cfm/go/document.information/documentID/1030366	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	12,500	12,500
Annual IC Time Burden (Hours)	3,125	3,125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].