Information Collection Request

Medical Qualification Requirements

ICR 202304-2126-005 · OMB 2126-0006 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2126-0006 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form MCSA-5875 IC6 - Medical Examiner's Certification Integration Final Rule	Form and Instruction	New	Available
Form MCSA 5871 IC8 - Qualification of Drivers: Vision Standard	Form and Instruction	Modified	Available
Form MCSA-5850 IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results	Form and Instruction	Modified	Available
Form MCSA 5870 IC7 -Qualification of Driver; Diabetes Standard	Form	Modified	Repair queued
PRA-2126-0006 Justification NonSubstantive Change to MCSA-5875 MCSA-5876 and MCSA-5850 030223.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-04-26	Repair queued
PRA-2126-0006 Vision Final Rule SS Vision Evaluation Report 01.21.22 final.docx	Supporting Statement A	Uploaded 2022-01-27	Repair queued
30-day FR for 2126-0006 10.14.21.pdf	Supplementary Document	Uploaded 2021-10-14	Repair queued
60-day FR for 2126-0006 05.06.21.pdf	Supplementary Document	Uploaded 2021-09-06	Repair queued
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	Repair queued
60-day FR for Insulin-Treated Diabetes Mellitus Assessment Form.pdf	Supplementary Document	Uploaded 2018-09-18	Repair queued
PRA-2126-0006 Justification NonSubstantive Change 061416.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-07-18	Repair queued
PRA-2126-0006.Justification NonSubstantive Change final 032916.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-03-30	Repair queued
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	Repair queued
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	Repair queued
Diabetes Exemption Applications Qualifications of Drivers (68FR52441)090303.pdf	Supplementary Document	Uploaded 2010-01-22	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
26039	IC1 - FMCSA Physical Qualification Standards		Unchanged
259884	IC6 - Medical Examiner's Certification Integration Final Rule	Form and Instruction	New
251311	IC8 - Qualification of Drivers: Vision Standard	Form and Instruction	Modified
251310	IC5d - National Registry of Certified Medical Examiners - Verification of National Registry Number		Unchanged
251309	IC5c - National Registry of Certified Medical Examiners - Providing Medical Examination Reports to FMCSA Upon Request		Unchanged
251308	IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results	Form and Instruction	Modified
251303	IC5a - National Registry of Certified Medical Examiners - Registering and Testing		Unchanged
251302	IC3 - Seizure Exemptions		Unchanged
251301	IC3b - Hearing Exemptions		Unchanged
233017	IC7 -Qualification of Driver; Diabetes Standard	Form	Modified
216256	IC4 - Skill Performance Evaluation (SPE) Certificate Program		Unchanged
216251	IC2 - Resolution of Medical Conflict		Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	DOT/FMCSA
OMB Control No	2126-0006
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202201-2126-005
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31