Information Collection

Survey of Medical Examiner Who Certify the Physical Qualifications of Commercial Motor Vehicle (CMV) Drivers

IC 179482 under ICR 200704-2126-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey of Medical Examiner Who Certify the Physical Qualifications of Commercial Motor Vehicle (CMV) Drivers	Form
Survey of Medical Examiners Who Certify the Physical Qua PRA-2126New.MEP.ATCHA.Survey.040307.doc	Form
PRA-2126New.MEP.ATCHB.040307.doc Section 515 of Public Law 106-554	IC Document
PRA-2126New.MEP.ATCHC.040307.doc Recruitment Email 1	IC Document
PRA-2126New.MEP.ATCHD.040307.doc Recruitment Email 2	IC Document
PRA-2126New.MEP.ATCHE.040307.doc Recruitment Email 3	IC Document
PRA-2126New.MEP.ATCHF.040307.doc Recruitment Email 4	IC Document
PRA-2126NEW.MEP.ATTG.040307.pdf 60 day Federal Register Notice	IC Document
PRA-2126NEW.MEP.ATTL.30day.040307.pdf 30 day Federal Register Notice	IC Document
49 CFR 391.41.doc 49 CFR 391.41, Physical qualifications for drivers.	IC Document
49 CFR 398.3.doc 49 CFR 398.3, Qualifications of drivers or operators.	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 391.41 49 CFR 398.3

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Survey of Medical Examiners Who Certify the Physical Qualifications of Commercial Motor Vehicle (CMV) Drivers	PRA-2126New.MEP.ATCHA.Survey.040307.doc		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,300	4,300
Annual IC Time Burden (Hours)	2,025	2,025
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Section 515 of Public Law 106-554	PRA-2126New.MEP.ATCHB.040307.doc	12/21/2000
Recruitment Email 1	PRA-2126New.MEP.ATCHC.040307.doc	04/03/2007
Recruitment Email 2	PRA-2126New.MEP.ATCHD.040307.doc	04/03/2007
Recruitment Email 3	PRA-2126New.MEP.ATCHE.040307.doc	04/03/2007
Recruitment Email 4	PRA-2126New.MEP.ATCHF.040307.doc	04/03/2007
60 day Federal Register Notice	PRA-2126NEW.MEP.ATTG.040307.pdf	06/19/2006
30 day Federal Register Notice	PRA-2126NEW.MEP.ATTL.30day.040307.pdf	04/02/2007
49 CFR 391.41, Physical qualifications for drivers.	49 CFR 391.41.doc	10/02/2002
49 CFR 398.3, Qualifications of drivers or operators.	49 CFR 398.3.doc	09/29/1975

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.