DRIVER'S EMPLOYMENT APPLICATION

ICR 198101-2125-003

OMB: 2125-0065

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
141764
Migrated
ICR Details
2125-0065 198101-2125-003
Historical Active
DOT/FHWA
DRIVER'S EMPLOYMENT APPLICATION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/31/1981
Retrieve Notice of Action (NOA) 01/12/1981
This application form is only one of a number of reporting and recordkeeping requirements levied on drivers and carriers by 49 CFR 391, Qualifications of Drivers. OMB notes that DOT has been submitting these various requirements for clearance one at a time. OMB will give one expiration date to these various paperwork requirements. The expiration date is January 1983, the expiration date given to the recently approved road test. When these paperwork requirements are submitted for renewal in October 1982, they may not be submitted separately. At that time, the entire paperwork requirement of this regulation must be submitted in one clearance request with one supporting statement.
  Inventory as of this Action Requested Previously Approved
01/31/1983 01/31/1983
174,460 0 0
46,522 0 0
0 0 0

PROVIDES NECESSARY INFORMATION FOR THE FEDERAL HIGHWAY ADMINISTRATION AND THE MOTOR CARRIER TO DETERMINE IF THE APPLICANT IS QUALIFIED TO OPERATE A COMMERCIAL MOTOR VEHICLE IN INTERSTATE COMMERCE PRIOR TO BEING EMPLOYED.

None
None


No

1
IC Title Form No. Form Name
DRIVER'S EMPLOYMENT APPLICATION

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 174,460 0 0 174,460 0 0
Annual Time Burden (Hours) 46,522 0 0 46,522 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/12/1981


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