Information Collection Request

Medical Qualification Requirements

ICR 202411-2126-002 · OMB 2126-0006 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MCSA-5875 IC6 - Medical Examiner's Certification Integration Final Rule Form and Instruction Unchanged Missing upstream
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 Repair queued
Form MCSA 5870 IC7 -Qualification of Driver; Diabetes Standard Form Modified Repair queued
30-day FR 2126-0006.pdf Supplementary Document Uploaded 2025-01-08 Repair queued
PRA-2126-0006 Supporting Statement 11.25.24.docx Supporting Statement A Uploaded 2024-11-25 Repair queued
60-day FR for 2126-0006.pdf Supplementary Document Uploaded 2024-11-25 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
Justification of Non-substantive Changes for MCSA-5875 07.08.20.docx Supplementary Document Uploaded 2020-07-08 Missing upstream
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 Available
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 Repair queued
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 Missing upstream
Diabetes Exemption Qualifications of Drivers (70FR67777)110805.pdf Supplementary Document Uploaded 2010-01-22 Missing upstream
Diabetes Exemption Applications Qualifications of Drivers (68FR52441)090303.pdf Supplementary Document Uploaded 2010-01-22 Repair queued

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 03/31/2025
38,069,391 35,545,791
3,243,525 2,705,862
0 0





table that charts list of burden
  Total Request 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 38,069,391 35,545,791 0 0 2,523,600 0
Annual Time Burden (Hours) 3,243,525 2,705,862 0 0 537,663 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No