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 Removed
 
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 MCSA-5850 Form 1-8-2021 exp 508.pdf Yes Yes Fillable Fileable

Transportation Ground Transportation

 

768,357 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Requested 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 0 0 0 -16,465,297 0 16,465,297
Annual IC Time Burden (Hours) 0 0 0 -556,797 0 556,797
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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