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IC6 - Medical Examiner's Certification Integration Final Rule

IC 259884 under ICR 202507-2126-009 · OMB 2126-0006.

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IC6 - Medical Examiner's Certification Integration Final Rule
 
No Modified
 
Mandatory
 
49 CFR 391.43

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MCSA-5875 Medical Examination Report (MER) Form MCSA-5875 3-27-25 cx 508.pdf https://www.fmcsa.dot.gov/regulations/medical/medical-examination-report-form-commercial-driver-medical-certification Yes Yes Fillable Fileable Signable
Form MCSA-5876 Medical Examiner's Certificate (MEC) MCSA-5876 Form 3-27-2025 cx 508.pdf https://www.fmcsa.dot.gov/regulations/medical/medical-examiners-certificate-commercial-driver-medical-certification Yes Yes Fillable Fileable Signable

Transportation Ground Transportation

 

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   0 %

  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 1 0 0 0 0 1
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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