OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Role Delineation Study for Federal Motor Carrier Safety Administration Medical Examiners

ICR 200607-2126-002 · OMB 2126-0039 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
PRA-2126NEW.NCRME.ATTK.071306.use.pdf Supplementary Document Uploaded 2006-07-31 Available
PRA-2126NEW.NCRME.ATTH.070606.use.pdf Supplementary Document Uploaded 2006-07-31 Available
PRA-2126NEW.NRCME.SS.Part B.070606.OST.doc Supporting Statement B Uploaded 2006-07-31 Available
PRA-2126NEW.NRCME.ATTF.070606.use.doc Supplementary Document Uploaded 2006-07-31 Available
PRA-2126NEW.NRCME.ATTE.070606.use.doc Supplementary Document Uploaded 2006-07-31 Available
PRA-2126NEW.NRCME.ATTD.070606.use.doc Supplementary Document Uploaded 2006-07-31 Available
PRA-2126NEW.NRCME.ATTC.070606.use.doc Supplementary Document Uploaded 2006-07-31 Available
PRA-2126NEW.NRCME.ATTA&B.070606.use.doc Supplementary Document Uploaded 2006-07-31 Available
PRA-2126NEW.NRCME.ATTA&B.070606.use.doc Supplementary Document Uploaded 2006-07-31 Available
PRA-2126NEW.NRCME.SS.070606.OST.doc Supporting Statement A Uploaded 2006-07-31 Available
IC Document Collections
IC IDCollectionTypeStatusForm
44390 Role Delineation Study for FMCSA Medical Examiners Other-Cover Letter and Survey Instrument New
ICR Details
2126-0039 200607-2126-002
Historical Active
DOT/FMCSA
Role Delineation Study for Federal Motor Carrier Safety Administration Medical Examiners
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/06/2006
Retrieve Notice of Action (NOA) 09/06/2006
Kindly revise the statement on the consequences of the failure to display a currently valid control number to delete the phrase "Notwithstanding any other provision of law"
  Inventory as of this Action Requested Previously Approved
10/31/2009 09/30/2007
4,000 0 0
4,000 0 0
216,000 0 0
This information collection will be used to conduct a survey on the role of medical examiners who certify the physical qualifications of commercial motor vehicle (CMV) drivers.
US Code: 49 USC 31149(d) Name of Law: Medical Program
   PL: Pub.L. 109 - 59 4116 Name of Law: Motor Carrier Safety Reauthorization Act of 2005
   US Code: 49 USC 31136(a)(3) Name of Law: Minimum Safety Standards
  
None
Not associated with rulemaking
  70 FR 56964 09/29/2005
71 FR 39697 07/13/2006
Yes
1
IC Title Form No. Form Name
Role Delineation Study for FMCSA Medical Examiners
  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 4,000 0 0 4,000 0 0
Annual Time Burden (Hours) 4,000 0 0 4,000 0 0
Annual Cost Burden (Dollars) 216,000 0 0 216,000 0 0
Yes
Changing Regulations
No
This new collection of information resulted in a program change of a one-time 4,000 estimated annual burden hours is support if a requirement in section 4116(a) of the Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy of Users (SAFETEA-LU) to verify whether a CMV driver's health meets FMCSA standards.
$25,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Maggi Gunnels 202 366-4001 [email protected]
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/06/2006