Information Collection Request

Medical Qualification Requirements

ICR 201807-2126-001 · OMB 2126-0006 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MCSA-5875 IC6 - Medical Examiner's Certification Integration Final Rule Form and Instruction Modified Available
Form MCSA-5850 IC5 - National Registry Certified Medical Examiners Form Modified Available
PRA-2126-0006 SS Renewal update 30 day final 081718 submission.doc Supporting Statement A Uploaded 2018-08-29 Available
30-Day FR for 2126-0006.pdf Supplementary Document Uploaded 2018-07-30 Available
60-Day FR for 2126-0006 04.27.18.pdf Supplementary Document Uploaded 2018-07-30 Available
PRA-2126-0006 Justification NonSubstantive Change 061416.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-07-18 Available
PRA-2126-0006.Justification NonSubstantive Change final 032916.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-03-30 Available
Section4116 of SAFETEA-LU(Public Law 109-59) 081005.doc Supplementary Document Uploaded 2012-04-18 Available
Section 4129 of SAFETEA-LU(PubLaw109-59.doc Supplementary Document Uploaded 2012-04-18 Available
Section 4129 of SAFETEA-LU(PubLaw109-59.doc Supplementary Document Uploaded 2010-01-22 Available
Diabetes Exemption Qualifications of Drivers (70FR67777)110805.pdf Supplementary Document Uploaded 2010-01-22 Available
Diabetes Exemption Applications Qualifications of Drivers (68FR52441)090303.pdf Supplementary Document Uploaded 2010-01-22 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2019 36 Months From Approved 09/30/2018
31,581,609 0 34,722,151
2,395,315 0 2,633,702
0 0 0





table that charts list of burden
  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 31,581,609 34,722,151 0 0 -3,140,542 0
Annual Time Burden (Hours) 2,395,315 2,633,702 0 0 -238,387 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No