Faa Form 8500-7 - Report Of Eye Evaluation
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4INFORMATION FOR APPLICANT
REPORT OF EYE EVALUATION
See Privacy Act Information below.
Paperwork Reduction Act Statement
:
The information collected on this form is necessary to ensure applicants meet the minimum
requirements as set forth under the authority of 49 U.S.C. (Transportation). This information will
be used to determine applicant eligibility for a medical certificate, medical and student pilot
certificate, or ATCS eligibility for employment. When all requirements have been met, an
appropriate medical certificate, medical and student pilot certificate, or medical clearance will
be issued. It is estimated that it will take each applicant 15 minutes to complete this form and
provide all the information called for (includes providing medical history information and
physical examination). The information is required to obtain a certificate and is confidential. The
information will become part of the Privacy Act system of records DOT/FAA 847, Aviation
Records on Individuals. Note that an agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a currently valid OMB
control number. The control number for this collection of information is 2120-0034. Comments
concerning the accuracy of this burden and suggestions for reducing the burden should be
directed to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information
Collection Clearance Officer, AES-200.
Tear off this cover sheet before submitting this form
FAA FORM 8500-7 (3-06) Supersedes Previous Edition
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Parent category: Business