RECORDS OF VIOLATIONS AND ANNUAL REVIEW OF DRIVING RECORD 2101

ICR 198212-2125-008

OMB: 2125-0073

Federal Form Document

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Document
Name
Status
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ICR Details
2125-0073 198212-2125-008
Historical Active 198105-2125-001
DOT/FHWA
RECORDS OF VIOLATIONS AND ANNUAL REVIEW OF DRIVING RECORD 2101
Extension without change of a currently approved collection   No
Regular
Approved without change 03/24/1983
Retrieve Notice of Action (NOA) 12/27/1982
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 the following: Driver's Employment Application (OMB No. 2125-0065), Road Test (OMB No. 2125-0064), Written Examination (OMB No. 2125-0070), and Investigations and Inquiries of Driving Record and Past Employers (OMB No. 2125-0067).
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983 01/31/1983
1,179,360 0 1,179,360
117,936 0 117,936
0 0 0

DRIVERS MUST FURNISH CARRIERS A LIST OF VIOLATIONS OF TRAFFIC LAWS OF WHICH THE DRIVER WAS CONVICTED (49 CFR 391.27). CARRIERS REQUIRE TO REVIEW DRIVING RECORD (49 CFR 391.25). FEDERAL HIGHWAY ADMINISTRATION USES INFORMATION TO DETERMINE IF DRIVER IS QUALIFIED TO DRIVE INTERSTATE OR FOREIGN COMMERCE UNDER 49 CFR 391.15.

None
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1
IC Title Form No. Form Name
RECORDS OF VIOLATIONS AND ANNUAL REVIEW OF DRIVING RECORD 2101

  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 1,179,360 1,179,360 0 0 0 0
Annual Time Burden (Hours) 117,936 117,936 0 0 0 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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