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  
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