This particular sign is specific to California, though I’ve often seen similar signs elsewhere on an ad-hoc basis. The California sign documentation suggests tourist_bus=designated.

There’s also a very similar-looking sign for school bus loading zones. School buses in North America are both a vehicle type and a vehicle use. However, retired school buses that have been converted to some other use, such as church buses or police buses, aren’t treated as school buses for the purpose of these regulations (and would have distinct signs). Mappers have been using school_bus where a distinction is needed.

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