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OMB Control No:	ICR Reference No: 202505-2120-002
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: Physiological Training Record
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 03/16/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	3,000	0
Time Burden (Hours)	240	0
Cost Burden (Dollars)	0	0

Abstract: The information collected on the Physiology Training Record is required by students attending aviation physiology training that wish to participate in hypobaric or normobaric hypoxia training. It is reviewed by the training instructor and a member of the Airman Education Program team to ensure those desiring to participate in this training have the necessary aviation medical qualification. Additionally, the “yes” or “no” questions are reviewed to ensure there are no known health issues that would prevent their participation in entering a low-oxygen environment to experience their symptoms of hypoxia. To that end a person that is: 1. “Taking any medications that were not approved at the time of your last FAA medical exam” could mask a health issue or present an unexpected result during hypobaric or normobaric training operations. 2. Having “a cold or nasal congestion” could cause problems with equalizing pressure in the ears or sinuses during hypobaric training operations. 3. Having “an ear infection now or…in the past 30 days” could affect the ability to equalize pressure in the ears during hypobaric training operations. 4. Having a “history of significant ear pressure blocks during flying” could be an indicator of an inability to equalize pressure in the ears during hypobaric training operations. 5. Having had a “ruptured eardrum since your last FAA medical exam” could indicate a health risk during hypobaric training operations. 6. Having “any symptoms of upset stomach, gas, or diarrhea” could indicate a health risk of gas expansion during hypobaric training operations. 7. Having had “any operations or been hospitalized within the last 90 days” could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations. 8. Having “been unconscious because of illness or injury within the past 12 months” could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations. 9. Having “had convulsions or been evaluated for possible epilepsy” could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations. 10. Having “had any disease or surgery of the heart or vascular system” could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations. 11. Having “had any disease or surgery of the lungs or chest” could indicate a health risk that could be exacerbated during hypobaric or normobaric training operations. 12. Having “participated in scuba diving during the last 24 hours” could increase the risk of decompression sickness during hypobaric training operations. 13. Having “donated blood in the past 72 hours” could result in an accelerated onset of hypoxia and decreased recovery from hypoxia during hypobaric or normobaric training operations. 14. Having a “low hematocrit or hemoglobinopathy (such as sickle cell anemia)” could result in an accelerated onset of hypoxia and decreased recovery from hypoxia during hypobaric or normobaric training operations. 15. Having had “altitude sickness or prior problems with hypoxic exposure including chamber flight” could indicate a health risk that could be exacerbated during hypobaric training operations. 16. The “possibility that you are pregnant” could result in an accelerated onset of hypoxia and decreased recovery from hypoxia as well as danger to the unborn baby during hypobaric or normobaric training operations. Any questions resulting in a “yes” answer require a brief explanation to determine if a significant risk exists and if the person should be allowed to participate in dynamic hypoxia training. Although the information is collected, it may not be expected to be disseminated directly to the public, results may be used in scientific, management, technical or general information publications.

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 20549	05/14/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 11590	03/10/2026
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
FAA 3150-2 Physiology Training Record	FAA 3150-2

ICR Summary of Burden

	Total Request	Change Due to Agency Discretion
Annual Number of Responses	3,000	3,000
Annual Time Burden (Hours)	240	240
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new collection.

Annual Cost to Federal Government: $1,404

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

Agency Contact: Stephanie Terry 405 954-1008 stephanie.m.terry@faa.gov

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