View Information Collection Request (ICR) Package
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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:
2126-0006
ICR Reference No:
202507-2126-009
Status:
Active
Previous ICR Reference No:
202411-2126-002
Agency/Subagency:
DOT/FMCSA
Agency Tracking No:
Title:
Medical Qualification Requirements
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/05/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/22/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2028
03/31/2028
03/31/2028
Responses
38,069,391
0
38,069,391
Time Burden (Hours)
3,243,525
0
3,243,525
Cost Burden (Dollars)
0
0
0
Abstract:
This request for a non-substantive change to this ICR updates the expiration dates to the five collection instruments associated with this ICR. The information collection requirements are mandatory and apply to drivers, motor carriers, MEs, ME applicant testing organizations, and TCs. IC-1: Physical Qualification Standards; MEs must provide driver medical exam information for drivers they examine on medical forms and in the National Registry. The ME can determine if the driver is medically qualified. The ME must complete and furnish the original paper MEC to the driver. The driver must complete driver health history portion of the MER Form at least every 2 years. The motor carrier must file a MEC in DQ record. IC-2: Resolution of Medical Conflict; The medical conflict application provision provides a mechanism for drivers and motor carriers to request FMCSA to make a final decision to resolve conflicting medical evaluations when either party does not accept the decision of a medical specialist. FMCSA uses the information to determine if the driver should or should not be qualified. Motor carriers are required to submit an application to FMCSA for resolution (up to 3 cases a year) and attend a hearing (1 per year) if FMCSA deems necessary. IC-3: Medical Exemptions; FMCSA may grant a vision, hearing, or seizure exemption from a physical qualification standard. The driver is to complete an application for new exemption and exemption renewal every 2 years and the motor carrier is to copy and file the exemption in the DQ file. IC4: Skill Performance Evaluation Certificate; The SPE Certificate program requires drivers to complete an application for the new SPE certificate, complete an application for SPE certificate renewal every 2 years, provide a copy of the MER Form and MEC to FMCSA, and for motor carriers to copy and file the SPE Certificate in the DQ record. IC-5: National Registry of Certified Medical Examiners; MEs are required to provide contact and employment data when registering to become a certified ME. This data is used to provide the public with contact information for those medical professionals who are certified by FMCSA to conduct interstate CMV driver medical exams. MEs are required to submit the results of each CMV driver medical exam they complete daily, copies of MER forms, and MECs via the National Registry. IC-6: Medical Examiner’s Certification Integration Final Rule; Beginning on June 23, 2025, MEs will no longer be required to complete and furnish the original written MEC to qualified drivers when the driver is a CDL/CLP holder. This information will be electronically transmitted to the SDLA. Employers will no longer need to request a copy of the handwritten MEC for CDL/CLP holders. In addition, employers will no longer be required to verify the ME’s National Registry number for MECs issued to CDL/CLP holders because only MEs listed on the National Registry will be able to forward MEC information to the National Registry. IC-7: Qualifications of Drivers; Diabetes Standard; An individual with ITDM is able to obtain an MEC from an ME for up to a maximum of 12 months if the TC, the healthcare professional who manages, and prescribes insulin for the treatment of the individual’s diabetes, attests to the ME the individual maintains a stable insulin regimen and proper control of diabetes, and the ME determines the individual meets FMCSA’s physical qualification standards. The information provided by the TC enables the ME to make a qualification determination based on whether the driver meets all the physical qualification requirements.
Authorizing Statute(s):
PL:
Pub.L. 109 - 59 4116
Name of Law: Safe, Accountable, Flexible, Efficent Transportation Equity Act:: A legacy for Users (SAFETEA-LU)
PL:
Pub.L. 109 - 59 4129
Name of Law: Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users
Citations for New Statutory Requirements:
PL: Pub.L. 109 - 59 4129 Name of Law: Safe, Accountable, Flexible and Efficient Transporataion Equity Act: A Legacy for Users
PL: Pub.L. 106 - 159 215 Name of Law: Motor Carrier Safety Improvement Act of 1999 (MCSIA)
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
89 FR 76177
09/17/2024
30-day Notice:
Federal Register Citation:
Citation Date:
90 FR 1954
01/08/2025
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
IC1 - FMCSA Physical Qualification Standards
IC2 - Resolution of Medical Conflict
IC3a - Hearing Exemptions
IC3b - Seizure Exemptions
IC4 - Skill Performance Evaluation (SPE) Certificate Program
IC5a - National Registry of Certified Medical Examiners - Registering and Testing
IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results
MCSA-5850
CMV Driver Medical Examination Results Form
IC5c - National Registry of Certified Medical Examiners - Providing Medical Examination Reports to FMCSA Upon Request
IC5d - National Registry of Certified Medical Examiners - Verification of National Registry Number
IC6 - Medical Examiner's Certification Integration Final Rule
MCSA-5875, MCSA-5876
Medical Examination Report (MER) Form
,
Medical Examiner's Certificate (MEC)
IC7 -Qualification of Driver; Diabetes Standard
MCSA 5870
Insulin-Treated Diabetes Mellitus Assessment Form
IC8 - Qualification of Drivers: Vision Standard
MCSA 5871
Vision Evaluation Report
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
38,069,391
38,069,391
0
0
0
0
Annual Time Burden (Hours)
3,243,525
3,243,525
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$3,126,093
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Robin Hamilton 202 366-0072
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/22/2025
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