Information Collection

Role Delineation Study for FMCSA Medical Examiners

IC 44390 under ICR 200607-2126-002 · OMB 2126-0039.

Documents and Forms

Document Name Document Type
PRA-2126NEW.NRCME.ATTG.070606.use.doc Other-Cover Letter and Survey Instru

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Role Delineation Study for FMCSA Medical Examiners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1607 49 CFR 390.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Cover Letter and Survey Instrument			PRA-2126NEW.NRCME.ATTG.070606.use.doc		No		Paper Only

Line of Business: Transportation

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	216,000	216,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.