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Federal forms, ICRs, and supporting documents

Information Collection Request

Physiological Training Record

ICR 202505-2120-002 · OMB unassigned · Received in OIRA

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
275138 New
ICR Details
202505-2120-002
Received in OIRA
DOT/FAA
Physiological Training Record
New collection (Request for a new OMB Control Number)   No
Regular 03/16/2026
  Requested Previously Approved
36 Months From Approved
3,000 0
240 0
0 0
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.
None
None
Not associated with rulemaking
  90 FR 20549 05/14/2025
91 FR 11590 03/10/2026
No
1
IC Title Form No. Form Name
FAA 3150-2 Physiology Training Record FAA 3150-2
  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 3,000 0 0 3,000 0 0
Annual Time Burden (Hours) 240 0 0 240 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.
$1,404
No
    Yes
    Yes
No
No
No
No
Stephanie Terry 405 954-1008 stephanie.m.terry@faa.gov
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/16/2026
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