DRUG OFFENDER'S LICENSE SUSPENSION CERTIFICATION

ICR 199110-2127-001

OMB: 2127-0566

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
142305
Migrated
ICR Details
2127-0566 199110-2127-001
Historical Active
DOT/NHTSA
DRUG OFFENDER'S LICENSE SUSPENSION CERTIFICATION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/15/1991
Retrieve Notice of Action (NOA) 10/21/1991
  Inventory as of this Action Requested Previously Approved
10/31/1994 10/31/1994
52 0 0
260 0 0
0 0 0

S LICENSES' TO PROVIDE PROCEDURES TO STATE HIGHWAY CONSTRUCTION GRANT RECIPIENTS O HOW TO CERTIFY COMPLIANCE WITH THE PROVISIONS OF P.L. 101-516. THE LAW REQUIRES A DRIVER'S LICENSE SUSPENSION OR REVOCATION FOR INDIVIDUALS CONVICTED OF ANY DRUG-RELATED OFFENSE.

None
None


No

1
IC Title Form No. Form Name
DRUG OFFENDER'S LICENSE SUSPENSION CERTIFICATION

  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 52 0 0 52 0 0
Annual Time Burden (Hours) 260 0 0 260 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.
10/21/1991


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