Information Collection

Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma

IC 196924 under ICR 202606-2120-002 · OMB 2120-0034.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 8500-7 Report of Eye Evaluation Report of Eye Evaluation, Ophthalmologic Evaluation for Glaucoma	Form and Instruction
8500-7 Report of Eye Evaluation 8500-7 with upd burden statement.pdf www.faa.gov/forms/index.cfm/go/document.information/documentID/185784	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 14 CFR 61 14 CFR 67

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	8500-7			https://www.faa.gov/forms/index.cfm/go/document.information/documentID/185784	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title: Aviation Records on Individuals

FR Citation: 75 FR 68849

Number of Respondents: 6,000

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	6,000	6,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	60,930	60,930

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.

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