OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Survey of Medical Examiners Who Certify the Physical Qualifications of Commercial Motor Vehicle Drivers

ICR 200711-2126-001 · OMB 2126-0044 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
49 CFR 398.3.doc Supplementary Document Uploaded 2007-11-20 Available
49 CFR 391.41.doc Supplementary Document Uploaded 2007-11-20 Available
PRA-2126New.MEP2.ATCHL.102007R.USE.doc Supplementary Document Uploaded 2007-11-20 Available
PRA-2126New.MEP2.ATCHK.102007r.USE.doc Supplementary Document Uploaded 2007-11-20 Available
PRA-2126New.MEP2.ATCHJ.102207r.USE.doc Supplementary Document Uploaded 2007-11-20 Available
PRA-2126New.MEP2.ATCHI.102207r.USE.doc Supplementary Document Uploaded 2007-11-20 Repair queued
PRA-2126NEW.MEP2.ATTH.30dayFR.102207.pdf Supplementary Document Uploaded 2007-11-19 Available
PRA-2126NEW.MEP2.ATTC.102207.USE.pdf Supplementary Document Uploaded 2007-11-19 Available
PRA-2126NEW.MEP2.ATTB.102207.USE.pdf Supplementary Document Uploaded 2007-11-19 Available
PRA-2126NEW.MEP2.SS.PartB.110707.USE.doc Supporting Statement B Uploaded 2007-11-19 Available
PRA-2126NEW.MEP2.SS.110707.USE.doc Supporting Statement A Uploaded 2007-11-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
182655 Survey of Medical Examiners Who Certify the Physical Qualifications of Commercial Motor Vehicle (CMV) Drivers Other-Survey New
ICR Details
2126-0044 200711-2126-001
Historical Active
DOT/FMCSA
Survey of Medical Examiners Who Certify the Physical Qualifications of Commercial Motor Vehicle Drivers
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/28/2008
Retrieve Notice of Action (NOA) 02/06/2008
  Inventory as of this Action Requested Previously Approved
03/31/2011 09/30/2009
3,435 0 0
1,694 0 0
0 0 0
This information collection will be used to obtain information on medical examiner performance and clinical outcomes associated with the physical qualification examinations for commercial motor vehicle drivers.
None
None
Not associated with rulemaking
  71 FR 35324 06/19/2006
72 FR 15753 04/02/2007
Yes
1
IC Title Form No. Form Name
Survey of Medical Examiners Who Certify the Physical Qualifications of Commercial Motor Vehicle (CMV) Drivers
  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 3,435 0 0 3,435 0 0
Annual Time Burden (Hours) 1,694 0 0 1,694 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The program change of 1,694 estimated annual burden hours is due to a new ICR that will be used to obtain information on medical examiner performance and clinical outcomes associated with the physical qualification examinations for commercial motor vehicle drivers.
$160,000
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.
02/06/2008