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IC7 -Qualification of Driver; Diabetes Standard

IC 233017 under ICR 202507-2126-009 · OMB 2126-0006.

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IC7 -Qualification of Driver; Diabetes Standard
 
No Modified
 
Mandatory
 
49 CFR 391.46 49 CFR 391.41(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form MCSA 5870 Insulin-Treated Diabetes Mellitus Assessment Form MCSA-5870 3-26-25 cx 508.pdf https://www.fmcsa.dot.gov/regulations/medical/insulin-treated-diabetes-mellitus-assessment-form-mcsa-5870 Yes Yes Fillable Fileable Signable

Transportation Ground Transportation

 

4,906 0
   
Private Sector Businesses or other for-profits
 
   25 %

  Approved 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 4,906 0 0 0 0 4,906
Annual IC Time Burden (Hours) 654 0 0 0 0 654
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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