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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
IC1 - Physical Qualification Standards
Modified
16824000
1892700
144002224
IC2 - Resolution of Medical Conflict
Modified
3
11
272
IC3 - Medical Exemptions Excluding the Diabetes Exemption Program
Modified
3330
1831
54726
IC4 - Skill Performance Evaluation (SPE) Certificate Program
Modified
2426
2714
81267
IC5 - National Registry Certified Medical Examiners
Modified
14747847
495460
11103877
Form
MCSA-5850
CMV Driver Medical Examination Results Form
IC6 - Medical Examiner's Certification Integration Final Rule
Unchanged
1
0
0
Form and Instruction
MCSA-5875
Medical Examination Report Form Revised
Form
MCSA-5876
Medical Examiner's Certificate Revised
IC7 - Insulin-Treated Diabetes Mellitus Assessment Form
New
4906
654
60416
Form
MCSA 5870
Insulin-Treated Diabetes Mellitus Assessment Form
Total burden requested under this ICR:
31582513
2393370
155302782
To view an IC, click on IC Title