Final answer:
Without specific guidelines related to the age groups provided, it is not possible to determine how often individuals between 46 and 64 must submit a medical report to the Ministry of Transport.
Step-by-step explanation:
The frequency of submitting a medical report to the Ministry of Transport varies based on age. As the detailed specifics are not directly provided, a clear answer cannot be concluded from the information given. The categories of age include more than 60 years, between 50 and 60 years, between 40 and 50 years, between 30 and 40 years, between 20 and 30 years, between 10 and 20 years, and less than 10 years. Without specific guidelines or requirements tied to these age categories, we cannot accurately determine how often individuals aged between 46 and 64 must submit a medical report to the Ministry.