Medical Standards and Certification

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 8500-14 Ophthalmological Evaluation for Glaucoma	Form and Instruction	Unchanged	Available
Form 8500-8 Application for Airman Medical Certificate or Airman Medical and Student Pilots	Form	Unchanged	Available
Form 8500-7 Report of Eye Evaluation	Form and Instruction	Unchanged	Available
AVS Hub and ATCMC Non-Substantive Change_Statement for OMB 2120-0334.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2026-06-02	Available
3-4-1 MedXPress TOS PRA Statement.pdf	Supplementary Document	Uploaded 2020-05-08	Available
Current FAA Forms 8500-7 and -14.pdf	Supplementary Document	Uploaded 2020-05-08	Available
SORN DOT FAA 847_75 FR 68849.pdf	Supplementary Document	Uploaded 2020-05-08	Available
USCODE-2011-title49-subtitleVII-partA-subparti-40113.pdf	Supplementary Document	Uploaded 2020-05-08	Available
USCODE-2011-title49-subtitleVII-partA-subpartiii-44701 thru 44703.pdf	Supplementary Document	Uploaded 2020-05-08	Available
USCODE-2011-title49-subtitleVII-partA-subpartiii-44709.pdf	Supplementary Document	Uploaded 2020-05-08	Available
2120-0034 Commercial Balloons Final Rule 112222.docx	Supporting Statement A	Uploaded 2022-11-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
211732	Ophthalmological Evaluation for Glaucoma	Form and Instruction	Unchanged	Ophthalmological Evaluation for Glaucoma
196926	Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate	Form	Unchanged	Application for Airman Medical Certificate or Airman Medical and Student Pilots
196924	Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma	Form and Instruction	Unchanged	Report of Eye Evaluation

ICR Details

OMB Control No: 2120-0034	ICR Reference No: 202606-2120-002
Status: Received in OIRA	Previous ICR Reference No: 202308-2120-002
Agency/Subagency: DOT/FAA	Agency Tracking No: Nonsubstantive change ready OST
Title: Medical Standards and Certification
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/08/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	08/31/2026	08/31/2026
Responses	410,381	410,381
Time Burden (Hours)	600,572	600,572
Cost Burden (Dollars)	59,879,010	59,879,010

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Abstract: Individuals seeking to exercise pilot privileges are required to obtain a FAA medical certificate per 14 CFR §61.3(c) and §67.4. The collection is mandatory to be reported on occasion (as needed) based on the duration of the three classes of medical certificates as specified in 14 CFR §61.3(d) and will vary among respondents. The FAA collects this medical information only when an individual initially applies for or renews a FAA medical certificate. All applications and supporting documentation received are for decision-making and recordkeeping purposes. Respondents provide private medical information in order to meet FAA standards; their applications contain personally identifying information (PII). The application contains questions regarding medical history, the usage of medication, recent visits to a health professional, etc. It is anticipated that the information collected will be disseminated to Aviation Medical Examiners (i.e. public physicians designated by the FAA) through an automated system or used to support publicly disseminated information. The FAA Office of Aerospace Medicine will retain control over the information and safeguard it from improper access, modification, and destruction, consistent with FAA standards for confidentiality, privacy, and electronic information. See response to Question 10 of this Supporting Statement for more information on confidentiality and privacy. The information collection is designed to yield data that meet all applicable information quality guidelines. The FAA assigns a unique Pathology Index number (called a PI#) to each respondent’s application. Renewal applicants maintain the same PI# as their unique identifier for the lifecycle of their applications with the FAA. Following is a brief description of the purpose of this medical information collection: FAA Form 8500-7, Report of Eye Evaluation: Applicants who do not meet distant visual acuity standards and who desire an Authorization for Special Issuance of a Medical Certificate must submit FAA Form 8500-7 for evaluation and determination by FAA physicians. FAA Form 8500-8, Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate: Applicants complete this form to make application for an FAA medical certificate. FAA-designated Aviation Medical Examiners (AMEs) perform a medical examination and, based on the applicants’ input, work with Agency physicians to assess an applicant’s medical fitness. FAA Form 8500-14, Ophthalmological Evaluation for Glaucoma: Applicants with glaucoma must submit FAA Form 8500-14 so that FAA physicians can make determinations regarding permissible operational flight activities commensurate with their medical condition and public safety.

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Authorizing Statute(s): US Code: 49 USC 44709 Name of Law: Amendments, modifications, suspensions, and revocations of certificates
   US Code: 49 USC 40113 Name of Law: Administrative
   US Code: 49 USC 44702 Name of Law: Issuance of certificates
   US Code: 49 USC 44701 Name of Law: General requirements
   US Code: 49 USC 44703 Name of Law: Airman certificates
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2120-AL51	Final or interim final rulemaking	87 FR 71218	11/22/2022

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Federal Register Notices & Comments
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 71218	11/22/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate	8500-8	Application for Airman Medical Certificate or Airman Medical and Student Pilots
Ophthalmological Evaluation for Glaucoma	8500-14	Ophthalmological Evaluation for Glaucoma
Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma	8500-7	Report of Eye Evaluation

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ICR Summary of Burden

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	410,381	410,381	0	0	0	0
Annual Time Burden (Hours)	600,572	600,572	0	0	0	0
Annual Cost Burden (Dollars)	59,879,010	59,879,010	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: In October of 2018, Congress passed the FAA Reauthorization Act (Public Law 115-254). Section 318 of Public Law 115-254 directed the Administrator to revise 14 CFR 61.3(c) (relating to second-class medical certificates) to apply to an operator of an air balloon to the same extent such regulations apply to a pilot flightcrew member of other aircraft. In November of 2021, the FAA issued Medical Certification Standards for Commercial Balloon Operations, a notice of proposed rulemaking (NPRM) in response to the statutory directive. The NPRM proposed extending the requirement of second class medical certificates to commercial balloon pilots engaged in certain commercial balloon operations. The time burden on regulated persons has increased due to the estimated affected population increase of 2,277 respondents. The economic burden on respondents has also increased, because the FAA is now using an updated per-respose cost of $150.

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Annual Cost to Federal Government: $5,064,162

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/08/2026

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