Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
IC1 - FMCSA Physical Qualification Standards Unchanged 21520700 2776978 0
IC2 - Resolution of Medical Conflict Unchanged 3 11 0
IC3a - Hearing Exemptions Unchanged 673 109 0
IC3b - Seizure Exemptions Unchanged 503 184 0
IC4 - Skill Performance Evaluation (SPE) Certificate Program Unchanged 2567 2808 0
IC5a - National Registry of Certified Medical Examiners - Registering and Testing Unchanged 25847 4677 0
IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results Modified 13914850 284489 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 Unchanged 1000 83 0
IC5d - National Registry of Certified Medical Examiners - Verification of National Registry Number Unchanged 2593700 172913 0
IC6 - Medical Examiner's Certification Integration Final Rule Modified 1 0 0 Form and Instruction MCSA-5875 Medical Examination Report (MER) Form
Form MCSA-5876 Medical Examiner's Certificate (MEC)
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 Modified 4641 619 0 Form and Instruction MCSA 5871 Vision Evaluation Report
Total burden requested under this ICR: 38069391 3243525 0  
To view an IC, click on IC Title