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IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results

IC 251308 under ICR 202507-2126-009 · OMB 2126-0006.

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Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results
 
No Modified
 
Mandatory
 
49 CFR 391.41

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MCSA-5850 CMV Driver Medical Examination Results Form MCSA-5850 7-18-25 508.pdf Yes Yes Fillable Fileable Signable

Transportation Ground Transportation

 

52,952 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 13,914,850 0 0 0 0 13,914,850
Annual IC Time Burden (Hours) 284,489 0 0 0 0 284,489
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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