Agency Information Collection Activities; New Information Collection: Medical Documentation for Employee's Request for Reasonable Accommodation Form
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Issuing agencies
Abstract
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 its review and approval and invites public comment. The ICR is related to the collection of certificates of medical examinations to determine whether applicants meet the Office of Personnel Management (OPM)- approved medical qualification standards for certain positions. The ICR is necessary to determine whether an employee meets the necessary requirements to obtain a reasonable accommodation.
Full Text
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<title>Federal Register, Volume 89 Issue 235 (Friday, December 6, 2024)</title>
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[Federal Register Volume 89, Number 235 (Friday, December 6, 2024)]
[Notices]
[Pages 97164-97165]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-28696]
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DEPARTMENT OF TRANSPORTATION
Federal Motor Carrier Safety Administration
[Docket No. FMCSA-2024-0182]
Agency Information Collection Activities; New Information
Collection: Medical Documentation for Employee's Request for Reasonable
Accommodation Form
AGENCY: Federal Motor Carrier Safety Administration (FMCSA),
Department of Transportation (DOT).
ACTION: Notice and request for comments.
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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 its
review and approval and invites public comment. The ICR is related to
the collection of certificates of medical examinations to determine
whether applicants meet the Office of Personnel Management (OPM)-
approved medical qualification standards for certain positions. The ICR
is necessary to determine whether an employee meets the necessary
requirements to obtain a reasonable accommodation.
DATES: Comments on this notice must be received on or before February
4, 2025.
ADDRESSES: You may submit comments identified by Docket Number FMCSA-
2024-0182 using any of the following methods:
<bullet> Federal eRulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
Follow the online instructions for submitting comments.
<bullet> Mail: Dockets Operations; U.S. Department of
Transportation, 1200 New Jersey Avenue SE, West Building, Ground Floor,
Washington, DC 20590-0001.
<bullet> Hand Delivery or Courier: Dockets Operations, U.S.
Department of Transportation, 1200 New Jersey Avenue SE, West Building,
Ground Floor, Washington, DC, 20590-0001 between 9 a.m. and 5 p.m. ET,
Monday through Friday, except Federal holidays. To be sure someone is
there to help you, please call (202) 366-9317 or (202) 366-9826 before
visiting Dockets Operations.
<bullet> Fax: 1-202-493-2251.
To avoid duplication, please use only one of these four methods.
See the ``Public Participation and Request for Comments'' portion of
the SUPPLEMENTARY INFORMATION section for instructions on submitting
comments.
FOR FURTHER INFORMATION CONTACT: Benjamin Tate, Disability Program
Manager, Human Resources Service Division, DOT, FMCSA, 1200 New Jersey
Avenue SE, West Building, 6th Floor, Washington, DC 20590-0001; 202-
815-0830; <a href="/cdn-cgi/l/email-protection#1c7e7972767d71757232687d68795c787368327b736a"><span class="__cf_email__" data-cfemail="6a080f04000b070304441e0b1e0f2a0e051e440d051c">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION:
Instructions
All submissions must include the Agency name and docket number. For
detailed instructions on submitting comments, see the Public
Participation heading below. Note that all comments received will be
posted without change to <a href="https://www.regulations.gov">https://www.regulations.gov</a>, including any
personal information provided. Please see the Privacy Act heading
below.
Public Participation and Request for Comments
If you submit a comment, please include the docket number for this
notice (FMCSA-2024-0182), indicate the specific section of this
document to which your comment applies, and provide a reason for each
suggestion or recommendation. You may submit your comments and material
online or by fax, mail, or hand delivery, but please use only one of
these means. FMCSA recommends that you include your name and a mailing
address, an email address, or a phone number in the body of your
document so FMCSA can contact you if there are questions regarding your
submission.
To submit your comment online, go to <a href="https://www.regulations.gov/docket/FMCSA-2024-0182/document">https://www.regulations.gov/docket/FMCSA-2024-0182/document</a>, click on this notice, click
``Comment,'' and type your comment into the text box on the following
screen.
If you submit your comments by mail or hand delivery, submit them
in an unbound format, no larger than 8\1/2\ by 11 inches, suitable for
copying and electronic filing.
Comments received after the comment closing date will be included
in the docket and will be considered to the extent practicable.
Privacy Act
In accordance with 5 U.S.C. 553(c), DOT solicits comments from the
public to better inform its regulatory process. DOT posts these
comments, including any personal information the commenter provides, to
<a href="http://www.regulations.gov">www.regulations.gov</a> as described in the system of records notice DOT/
ALL 14 (Federal Docket Management System (FDMS)), which can be reviewed
at <a href="https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices">https://www.transportation.gov/individuals/privacy/privacy-act-system-records-notices</a>. The comments are posted without edits and are
searchable by the name of the submitter.
Background
In accordance with the Rehabilitation Act of 1973 and the Americans
with Disabilities Act Amendments Act of 2008, FMCSA makes reasonable
accommodations for the known physical or mental limitations of
qualified individuals with disabilities, unless the accommodation would
impose an undue hardship on the operation of FMCSA. FMCSA requires
medical information from a health care provider to determine whether
the person's condition rises to the level of disability under the law
and to determine whether the limitations can be effectively
accommodated. FMCSA will use Form MCSA-3962.1, ``Medical Documentation
for Employee's Reasonable Accommodation Request,'' to help determine
whether the Agency will provide reasonable accommodation to qualified
individuals. FMCSA makes available electronic versions (PDF fillable)
of Form MCSA-3962.1. The form can be filled out on the computer and
then either emailed or printed off and submitted to the appropriate
office.
Title: Medical Documentation for Employees Request for Reasonable
Accommodation Form.
OMB Control Number: 2126-00XX.
Type of Request: New ICR.
Respondents: Health Professionals.
Estimated Number of Respondents: 45.
Estimated Time per Response: 5 minutes.
Expiration Date: This is a new ICR.
Frequency of Response: On occasion.
Estimated Total Annual Burden: 3.75 Hours.
Public Comments Invited: You are asked to comment on any aspect of
this information collection, including: (1) whether the proposed
collection is necessary for the performance of FMCSA's functions; (2)
the accuracy of the estimated burden; (3) ways for FMCSA to enhance the
quality, usefulness, and clarity of the collected information; and (4)
ways that the burden could be minimized without reducing the quality of
the collected information. The Agency will
[[Page 97165]]
summarize or include your comments in the request for OMB's clearance
of this ICR.
Issued under the authority of 49 CFR 1.87.
Thomas P. Keane,
Associate Administrator, Office of Research and Registration.
[FR Doc. 2024-28696 Filed 12-5-24; 8:45 am]
BILLING CODE 4910-EX-P
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