QUALIFICATION CERTIFICATE 2166

ICR 198305-2125-002

OMB: 2125-0081

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
141800
Migrated
ICR Details
2125-0081 198305-2125-002
Historical Active 198212-2125-004
DOT/FHWA
QUALIFICATION CERTIFICATE 2166
Extension without change of a currently approved collection   No
Regular
Approved without change 07/26/1983
Retrieve Notice of Action (NOA) 05/02/1983
  Inventory as of this Action Requested Previously Approved
07/31/1986 07/31/1986 09/30/1983
82,555 0 82,555
9,631 0 9,631
0 0 0

<49 CFR 391.65) THE CERTIFICATE IS PERMITTED IN LIEU OF OTHER DOCUMENTATION REQUIRED IN 49 CFR 391 IF DRIVER USED IS EMPLOYED BY ANOTHER MOTOR CARRIER. VOLUNTARY USE OF THIS CERTIFICATE REDUCES THE OVERALL PAPERWORK BURDEN REQUIRED IN 49 CFR 391.

None
None


No

1
IC Title Form No. Form Name
QUALIFICATION CERTIFICATE 2166

  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 82,555 82,555 0 0 0 0
Annual Time Burden (Hours) 9,631 9,631 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.
05/02/1983


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