Medical Qualification Requirements

ICR 202304-2126-005

OMB: 2126-0006

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2126-0006 can be found here:

Forms and Documents

Document Name	Status
Form MCSA-5875 IC6 - Medical Examiner's Certification Integration Final Rule Form and Instruction	New
Form MCSA 5871 IC8 - Qualification of Drivers: Vision Standard Form and Instruction	Modified
Form MCSA-5850 IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results Form and Instruction	Modified
Form MCSA 5870 IC7 -Qualification of Driver; Diabetes Standard Form	Modified
PRA-2126-0006 Justification NonSubstantive Change to MCSA-5875 MCSA-5876 and MCSA-5850 030223.docx Justification for No Material/Nonsubstantive Change	2023-04-26
PRA-2126-0006 Vision Final Rule SS Vision Evaluation Report 01.21.22 final.docx Supporting Statement A	2022-01-27
30-day FR for 2126-0006 10.14.21.pdf Supplementary Document	2021-10-14
60-day FR for 2126-0006 05.06.21.pdf Supplementary Document	2021-09-06
Justification of Non-substantive Changes for MCSA-5875 07.08.20.docx Supplementary Document	2020-07-08
PRA-2126-0006 Justification NonSubstantive Change to MCSA-5875 031920.docx Supplementary Document	2020-04-22
60-day FR for Insulin-Treated Diabetes Mellitus Assessment Form.pdf Supplementary Document	2018-09-18
PRA-2126-0006 Justification NonSubstantive Change 061416.docx Justification for No Material/Nonsubstantive Change	2016-07-18
PRA-2126-0006.Justification NonSubstantive Change final 032916.docx Justification for No Material/Nonsubstantive Change	2016-03-30
Section4116 of SAFETEA-LU(Public Law 109-59) 081005.doc Supplementary Document	2012-04-18
Section 4129 of SAFETEA-LU(PubLaw109-59.doc Supplementary Document	2012-04-18
Section 4129 of SAFETEA-LU(PubLaw109-59.doc Supplementary Document	2010-01-22
Diabetes Exemption Qualifications of Drivers (70FR67777)110805.pdf Supplementary Document	2010-01-22
Diabetes Exemption Applications Qualifications of Drivers (68FR52441)090303.pdf Supplementary Document	2010-01-22

IC Document Collections

IC ID	Document Title	Status
26039	IC1 - FMCSA Physical Qualification Standards	Unchanged
259884	IC6 - Medical Examiner's Certification Integration Final Rule Form and Instruction	New
251311	IC8 - Qualification of Drivers: Vision Standard Form and Instruction	Modified
251310	IC5d - National Registry of Certified Medical Examiners - Verification of National Registry Number	Unchanged
251309	IC5c - National Registry of Certified Medical Examiners - Providing Medical Examination Reports to FMCSA Upon Request	Unchanged
251308	IC5b - National Registry of Certified Medical Examiners - CMV Driver Medical Examination Results Form and Instruction	Modified
251303	IC5a - National Registry of Certified Medical Examiners - Registering and Testing	Unchanged
251302	IC3 - Seizure Exemptions	Unchanged
251301	IC3b - Hearing Exemptions	Unchanged
233017	IC7 -Qualification of Driver; Diabetes Standard Form	Modified
216256	IC4 - Skill Performance Evaluation (SPE) Certificate Program	Unchanged
216251	IC2 - Resolution of Medical Conflict	Unchanged

ICR Details

© 2025 OMB.report | Privacy Policy