391.41 CMV Driver Medication Form

ICR 201911-2126-001

OMB: 2126-0064

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2019-11-06
Supplementary Document
2019-11-06
Supplementary Document
2019-11-05
IC Document Collections
IC ID
Document
Title
Status
220971 Modified
ICR Details
2126-0064 201911-2126-001
Active 201604-2126-002
DOT/FMCSA
391.41 CMV Driver Medication Form
Extension without change of a currently approved collection   No
Regular
Approved with change 04/09/2020
Retrieve Notice of Action (NOA) 11/19/2019
The agency updated the form.
  Inventory as of this Action Requested Previously Approved
04/30/2023 36 Months From Approved 04/30/2020
1,967,006 0 1,082,200
262,267 0 144,293
27,396,411 0 15,127,678

FMCSA is required by statute to establish standards for the physical qualifications of drivers who operate CMVs in interstate commerce for non-excepted industries. The FMCSRs at 49 CFR 391.41 set forth the physical qualification standards that interstate CMV drivers who are subject to part 391 must meet, with the exception of commercial driver’s license/commercial learner’s permit (CDL/CLP) drivers transporting migrant workers (who must meet the physical qualification standards set forth in 49 CFR 398.3). The purpose of the voluntary collection of this information is to enable the certified ME to determine if the driver is physically qualified under 49 CFR 391.41 and if there are disqualifying medical conditions that would adversely affect the driver’s ability to drive safely. Section 391.41(b)(12) states that a person is physically qualified to drive a CMV if that person does not use any drug or substance identified in 21 CFR 1308.11 Schedule I, an amphetamine, a narcotic, or other habit-forming drug; or does not use any non-Schedule I drug or substance that is identified in the other Schedules in 21 CFR part 1308 except when the use is prescribed by a licensed medical practitioner, as defined in 49 CFR 382.107, who is familiar with the driver’s medical history and has advised the driver that the substance will not adversely affect the driver’s ability to safely operate a CMV. Therefore, this voluntary collection allows certified MEs responsible for issuing Medical Examiner’s Certificates (MECs) to CMV drivers to communicate with healthcare professionals responsible for prescribing the use of certain medications. The information obtained allows certified MEs to fully understand the reasons the medications have been prescribed and to determine whether the use of the medications and the underlying condition being treated preclude the issuance of an MEC. Because there is moderate evidence to support the contention that the licit use of opioids increases the risk of a motor vehicle crashes and impacts indirect measures of driver performance negatively, the collection of this information assists certified MEs in determining whether a CMV driver is physically qualified to drive a CMV. Third-party requirements of this ICR are being considered. Certified MEs will be asking the prescribing healthcare professionals to complete the 391.41 CMV Driver Medication Form, MCSA-5895, for CMV drivers. In addition to the population of prescribing healthcare professionals, the population of CMV drivers who certified MEs may ask to have the 391.41 CMV Driver Medication Form, MCSA-5895, completed by a prescribing healthcare professional, has been calculated. This ICR reflects both interstate drivers subject to the FMCSRs and intrastate drivers subject to compatible State regulations. Although Federal regulations do not require States to comply with the medical requirements in the FMCSRs, most States do mirror the Federal requirements. If intrastate CMV drivers are subject to compatible State regulations, the Agency anticipates that it is likely that these drivers use certified MEs on the National Registry of Certified Medical Examiners (National Registry) for their physical qualification examinations, which may result in certified MEs requesting prescribing healthcare professionals to complete the 391.41 CMV Driver Medication Form, MCSA-5895. The use of this ICR is at the discretion of the certified ME to facilitate communication with treating healthcare professionals, who are responsible for prescribing certain medications, to fully understand the reasons the medications have been prescribed. This information assists the certified ME in determining whether the underlying medical condition and the prescribed medication will adversely affect the driver’s safe operation of a CMV. Therefore, there is no required collection frequency.

US Code: 49 USC 31136(a)(3) and 31502(b) Name of Law: null
  
None

Not associated with rulemaking

  84 FR 31980 07/03/2019
84 FR 59903 11/06/2019
No

1
IC Title Form No. Form Name
391.41 CMV Driver Medication Form MCSA 5895 391.41 CMV Driver Medication Form MCSA 5895

  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 1,967,006 1,082,200 0 0 884,806 0
Annual Time Burden (Hours) 262,267 144,293 0 0 117,974 0
Annual Cost Burden (Dollars) 27,396,411 15,127,678 0 0 12,268,733 0
No
No
Program adjustment - due to updated number of respondents and applicable wage data. Program change – due to new data available and the inclusion of the number of CMV drivers who may need a form completed on an annual basis to determine the annual burden hours and costs. As a result of the above updates, the annual burden hours have increased by 117,974 hours (144,293 to 262,267) and the annual costs have increased by $12,268,733 ($15,127,678 to $27,396,411).

$0
No
    Yes
    No
No
No
No
Uncollected
Robin Hamilton 202 366-0072

  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.
11/19/2019


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