Information Collection Request

Medical Qualification Requirements

ICR 202007-2126-001 · OMB 2126-0006 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MCSA 5870 IC7 - Insulin-Treated Diabetes Mellitus Assessment Form Form Unchanged Available
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 Unchanged Available
Justification of Non-substantive Changes for MCSA-5875 07.08.20.docx Supplementary Document Uploaded 2020-07-08 Available
PRA-2126-0006 Justification NonSubstantive Change to MCSA-5875 031920.docx Supplementary Document Uploaded 2020-04-22 Available
60-day FR for Insulin-Treated Diabetes Mellitus Assessment Form.pdf Supplementary Document Uploaded 2018-09-18 Available
PRA-2126-0006 SS diabetes final rule updated 091918.doc Supporting Statement A Uploaded 2018-09-19 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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2021 11/30/2021 11/30/2021
31,582,513 0 31,582,513
2,393,370 0 2,393,370
155,302,782 0 155,302,782





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 31,582,513 31,582,513 0 0 0 0
Annual Time Burden (Hours) 2,393,370 2,393,370 0 0 0 0
Annual Cost Burden (Dollars) 155,302,782 155,302,782 0 0 0 0


Reginfo record details
  No