View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2126-0064	ICR Reference No: 201604-2126-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/FMCSA	Agency Tracking No:
Title: 391.41 CMV Driver Medication Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/06/2017
	Date Received in OIRA: 08/04/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved
Responses	1,082,200	0	0
Time Burden (Hours)	144,293	0	0
Cost Burden (Dollars)	15,127,678	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	1,082,200	1,082,200
Annual Time Burden (Hours)	144,293	144,293
Annual Cost Burden (Dollars)	15,127,678	15,127,678

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This new collection will ensure that certified Medical Examiners responsible for issuing MECs to CMV drivers, communicate with healthcare professionals responsible for prescribing the use of certain medications, fully understand the reasons the medications have been prescribed and to determine whether or not the use of the medications and the underlying condition being treated preclude the issuance of a MEC. Because there is moderate evidence to support the contention that the licit use of opioids increases the risk of a motor vehicle crashes and impacts indirect measures of driver performance negatively, the collection of this information will assist certified MEs in determining whether a CMV driver is physically qualified to drive a CMV.

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