Justification for Nonsubstantive Change Request

PRA-2126-0006 Justification NonSubstantive Change to MCSA-5875 MCSA-5876 and MCSA-5850 030223.docx

Medical Qualification Requirements

Justification for Nonsubstantive Change Request

OMB: 2126-0006

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Justification for Nonmaterial/Nonsubstantive Change for

OMB Control Number 2126-0006 IC


Medical Qualification Requirements


This justification for a nonmaterial/nonsubstantive change is to request the Office of Management and Budget’s (OMB) approval for a nonsubstantive change to the Federal Motor Carrier Safety Administration’s (FMCSA) Information Collection (IC) titled Medical Qualification Requirements, covered by OMB Control Number 2126-0006. This IC currently contains all information collection requirements for interstate commercial motor vehicle (CMV) drivers, Medical Examiners (MEs) conducting medical examinations of CMV drivers, and motor carriers that are subject to 49 CFR part 391, including the use of certain forms to record medical examinations of CMV drivers, results of medical examinations conducted, and driver qualification decisions. Forms required in 49 CFR part 391 include the Medical Examination Report (MER) Form (Form MCSA-5875), CMV Driver Medical Examination Results Form (Form MCSA-5850 electronic only), Insulin-Treated Diabetes Mellitus Assessment Form (Form MCSA-5870), Vision Evaluation Report (Form MCSA-5871), and the Medical Examiner’s Certificate (MEC) (Form MCSA-5876). FMCSA is requesting an expedited review and approval of this ICR to update the attached forms that are included as in 49 CFR 391 as part of the medical certification process for interstate CMV drivers. Each form has been updated to reflect the approved ICR expiration date of March 31, 2025. Additional requested updates are detailed below.


Changes to Medical Examination Report (MER) Form, MCSA-5875


In 49 CFR 391.43(f), FMCSA is changing the Medical Examination Report Form, MCSA-5875, by removing the restriction on page 4 of the form “Qualified by operation of 49 CFR 391.64 (Federal) because the provision will no longer apply after March 22, 2023. This provision was for individuals who previously participated in diabetes and vision waiver programs that have since been replaced by alternative physical qualification standards in 49 CFR 391.44 and 49 CFR 391.46.


Changes to CMV Driver Medical Examination Results Form, MCSA-5850 (electronic only)


FMCSA is changing the CMV Driver Medical Examination Results Form, MCSA-5850 (electronic only) by removing the restriction “Qualified by operation of 49 CFR 391.64 (Federal) because the provision will no longer apply after March 22, 2023. This provision was for individuals who previously participated in diabetes and vision waiver programs that have since been replaced by alternative physical qualification standards in 49 CFR 391.44 and 49 CFR 391.46.


Changes to Medical Examiner’s Certificate (MEC), Form MCSA-5876


In 49 CFR 391.43(h), FMCSA is changing the Medical Examiner’s Certificate, Form MCSA-5876, by removing the restriction on the form “Qualified by operation of 49 CFR 391.64 (Federal) because the provision will no longer apply after March 22, 2023. This provision was for individuals who previously participated in diabetes and vision waiver programs that have since been replaced by alternative physical qualification standards in 49 CFR 391.44 and 49 CFR 391.46.


The public will be provided sufficient time to make any necessary information technology (IT) changes before use of the revised form becomes effective.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleJustification for Nonmaterial/Nonsubstantive Change for
Authorherman.dogan
File Modified0000-00-00
File Created2025-01-09

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