Information Collection

IC8 - Qualification of Drivers: Vision Standard

IC 251311 under ICR 202507-2126-009 · OMB 2126-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MCSA 5871 IC8 - Qualification of Drivers: Vision Standard	Form and Instruction
Form MCSA 5871 Vision Evaluation Report IC8 - Qualification of Drivers: Vision Standard	Form and Instruction
MCSA 5871 Vision Evaluation Report MCSA-5871 3-26-25 cx 508.pdf www.fmcsa.dot.gov/regulations/medical/vision-evaluation-report-form-mcsa-5871	Form and Instruction
MCSA 5871 Vision Evaluation Report MCSA-5871 3-26-25 cx 508.pdf www.fmcsa.dot.gov/regulations/medical/vision-evaluation-report-form-mcsa-5871	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 391.41(b)(10)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MCSA 5871			https://www.fmcsa.dot.gov/regulations/medical/vision-evaluation-report-form-mcsa-5871	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,641

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	4,641	4,641
Annual IC Time Burden (Hours)	619	619
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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