Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Pre-Employment Medical and Driver Medical Evaluation Forms New 13000 34550 0 Form and Instruction DS-6571 Med Eval for LES non-drivers
Form and Instruction DS-6572 Driver Medical Eval for LES
Form and Instruction DS-6573 TB Risk Assessment
Form and Instruction DS-6574 Seizure/Epilepsy
Form and Instruction DS-6575 Diabetes
Form and Instruction DS-6576 USDH Driver
Form and Instruction DS-6577 Vision Assessment
Total burden requested under this ICR: 13000 34550 0  
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