Information Collection Request
Pre-Employment Medical and Driver Medical Evaluation Forms
ICR 202408-1405-001 · OMB unassigned · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DS-6571 Pre-Employment Medical and Driver Medical Evaluation Forms |
Form and Instruction | New | Repair queued |
 legalAuthorities.docx |
Supplementary Document | Uploaded 2024-08-12 | Repair queued |
| Supporting-Statement MED.docx |
Supporting Statement A | Uploaded 2024-08-12 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 270045 |  Pre-Employment Medical and Driver Medical Evaluation Forms |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | STATE/AFA |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |