INVESTIGATIONS AND INQUIRIES OF DRIVING RECORD AND PAST EMPLOYERS 2103

ICR 198212-2125-002

OMB: 2125-0067

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2125-0067 198212-2125-002
Historical Active 198103-2125-002
DOT/FHWA
INVESTIGATIONS AND INQUIRIES OF DRIVING RECORD AND PAST EMPLOYERS 2103
Revision of a currently approved collection   No
Regular
Approved without change 03/24/1983
Retrieve Notice of Action (NOA) 12/27/1982
In its prior approval of this item, OMB specificaly requested that the Investigations and Inquiries of Driving Record and Past Employers be integrated with other related reporting and recordkeeping requirements of 49 CFR 391. Since BMCS has not done so, this item is approved for six months only, through September 30, 1983. Not later than June 30, 1983, this item must be resubmitted in a single clearance request with a single supporting statement, together with th following: Driver's Employment Application (OMB No. 2125-0065), Road Test (OMB No. 2125-0064), Written Examination (OMB No. 2125-0070), and Records of Violations and Annual Review of Driving Record (OMN No. 2125-0073).
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983 01/31/1983
153,316 0 174,460
56,215 0 63,969
0 0 0

MOTOR CARRIERS NEED BACKGROUND INFORMATION TO DETERMINE IF AN APPLICAN CAN SAFELY OPERATE A COMMERCIAL MOTOR VEHICLE AND IS NOT DISQUALIFIED UNDER THE FEDERAL MOTOR CARRIER SAFETY REGULATIONS BY REVIEWING PAST EMPLOYMENT RECORDS AND P DRIVING RECORDS.

None
None


No

1
IC Title Form No. Form Name
INVESTIGATIONS AND INQUIRIES OF DRIVING RECORD AND PAST EMPLOYERS 2103

  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 153,316 174,460 0 0 -21,144 0
Annual Time Burden (Hours) 56,215 63,969 0 0 -7,754 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
12/27/1982


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