View Information Collection (IC)

View Information Collection (IC)

IC Title:	Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 14 CFR 61 14 CFR 67

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	8500-8	Application for Airman Medical Certificate or Airman Medical and Student Pilot Certificate	8500-8_PRA revised.pdf	https://medxpress.faa.gov/	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 396,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	396,300	0	0	16,300	0	380,000
Annual IC Time Burden (Hours)	594,450	0	0	24,450	0	570,000
Annual IC Cost Burden (Dollars)	46,367,100	0	0	12,927,100	0	33,440,000

Documents for IC

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.