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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
IC1 - FMCSA Physical Qualification Standards
Unchanged
19067200
2144680
0
IC2 - Resolution of Medical Conflict
Unchanged
3
11
0
IC3 - Exemptions - Vision, Hearing, Seizure Exemptions
Removed
0
0
0
IC3 - Seizure Exemptions
New
503
184
0
IC3b - Hearing Exemptions
New
673
109
0
IC4 - Skill Performance Evaluation (SPE) Certificate Program
Unchanged
2567
2808
0
IC5 - National Registry Certified Medical Examiners
Removed
0
0
0
Form
MCSA-5850
CMV Driver Medical Examination Results Form
IC5a - National Registry of Certified Medical Examiners - Registering and Testing
New
25847
4677
0
IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results
New
11671650
234250
0
Form and Instruction
MCSA-5850
CMV Driver Medical Examination Results Form
IC5c - National Registry of Certified Medical Examiners - Providing Medical Examination Reports to FMCSA Upon Request
New
1000
83
0
IC5d - National Registry of Certified Medical Examiners - Verification of National Registry Number
New
4766800
317787
0
IC6 - Medical Examiner's Certification Integration Final Rule
Removed
0
0
0
Form and Instruction
MCSA-5875
Medical Examination Report Form Revised
Form
MCSA-5876
Medical Examiner's Certificate Revised
IC7 -Qualification of Driver; Diabetes Standard
Modified
4906
654
0
Form
MCSA 5870
Insulin-Treated Diabetes Mellitus Assessment Form
IC8 - Qualification of Drivers: Vision Standard
New
4641
619
0
Form and Instruction
MCSA 5871
Vision Evaluation Report
Total burden requested under this ICR:
35545790
2705862
0
To view an IC, click on IC Title