IC5 - National Registry Certified Medical Examiners

Medical Qualification Requirements

OMB: 2126-0006

IC ID: 201967

Information Collection (IC) Details

View Information Collection (IC)

IC5 - National Registry Certified Medical Examiners
 
No Unchanged
 
Mandatory
 
49 CFR 391.41

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form MCSA-5850 CMV Driver Medical Examination Results Form DataentryscreenfornewCMVDriverExamresultforms.png Yes Yes Fillable Fileable

Transportation Ground Transportation

 

680,009 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 14,747,847 0 0 0 0 14,747,847
Annual IC Time Burden (Hours) 495,460 0 0 0 0 495,460
Annual IC Cost Burden (Dollars) 11,103,877 0 0 0 0 11,103,877

Title Document Date Uploaded
49 CFR 391.41 49 CFR 391.doc 04/18/2012
49 U.S.C. 31149 49 U.S.C. 31149.doc 04/18/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy