FMCSA Seeks Renewal for Driver Med Form
Published Date: 9/15/2026
Notice
Summary
In accordance with the Paperwork Reduction Act of 1995, FMCSA announces its plan to submit the Information Collection Request (ICR) described below to the Office of Management and Budget (OMB) for review and approval. This Information Collection (IC) is voluntary and may be utilized by medical examiners (ME) responsible for issuing Medical Examiner's Certificates (MECs) to commercial motor vehicle (CMV) drivers. MEs that choose to use this IC do so to communicate with treating healthcare professionals who are responsible for prescribing certain medications, so that the ME fully understands the reasons the medications have been prescribed. The information obtained by the ME when utilizing this IC assists the ME in determining if the driver is medically qualified and ensures that there are no disqualifying medical conditions or underlying medical conditions and prescribed medications that could adversely affect their safe driving ability or cause incapacitation constituting a risk to the public. One comment was received in response to the 60-day Federal Register publication.
Analyzed Economic Effects
4 provisions identified: 3 benefits, 1 costs, 0 mixed.
Form Used to Determine CMV Driver Fitness
The voluntary MCSA-5895 form may be used by medical examiners to communicate with prescribing clinicians so the examiner can decide whether a commercial motor vehicle (CMV) driver is medically qualified under 49 CFR 391.41. The form is intended to help ensure there are no disqualifying medical conditions or medications that could impair safe driving.
Paperwork Burden on Prescribing Providers
FMCSA is renewing a voluntary information collection, the "391.41 CMV Driver Medication Form (MCSA-5895)," for prescribing healthcare professionals. The agency estimates up to 1,470,185 potential respondents, an estimated 8 minutes per response, and an estimated total annual burden of 311,375 hours.
Medical Information Kept in ME Records Only
Information collected on the MCSA-5895 is used by the certified medical examiner, attached to the Medical Examination Report (MCSA-5875), maintained in the driver's medical record by the examiner, and is not available to the public.
Electronic Submission Assumption Reduces Paperwork
FMCSA states it believes approximately 50 percent of completed MCSA-5895 forms are transmitted electronically (fax, scanned email), consistent with efforts to minimize respondents' recordkeeping and paperwork burdens.
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Key Dates
Department and Agencies
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