MEDICAL EXAMINATION - DRIVERS TRANSPORTING MIGRANT WORKERS

ICR 198406-2125-001

OMB: 2125-0079

Federal Form Document

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
141790
Migrated
ICR Details
2125-0079 198406-2125-001
Historical Active 198205-2125-002
DOT/FHWA
MEDICAL EXAMINATION - DRIVERS TRANSPORTING MIGRANT WORKERS
Revision of a currently approved collection   No
Regular
Approved without change 08/29/1984
Retrieve Notice of Action (NOA) 06/04/1984
This information collection is approved through 2/28/85 only. It must be resubmitted in a single request with a single supporting statement together with "Medical Qualification Requirements," OMB No. 2125-0080. The supporting statement for the combined package must also describe and justify any differences in medical requirements for drivers who transport migrant workers, compared to other drivers subject to BMCS regulations.
  Inventory as of this Action Requested Previously Approved
02/28/1985 02/28/1985 07/31/1984
333 0 333
17 0 17
0 0 0

DRIVERS OF VEHICLES TRANSPORTING MIGRANT WORKERS ARE REQUIRED TO PASS A PHYSICAL EXAMINATION AND MUST BE ISSUED A MEDICAL CERTIFICATE BY A PHYSICIAN AND THE DRIVER MUST HAVE POSSESSION OF THE CERTIFICATE WHILE DRIVING.

None
None


No

1
IC Title Form No. Form Name
MEDICAL EXAMINATION - DRIVERS TRANSPORTING MIGRANT WORKERS

  Total Approved 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 333 333 0 0 0 0
Annual Time Burden (Hours) 17 17 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
06/04/1984


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