DRUG OFFENDER'S LICENSE SUSPENSION CERTIFICATION

ICR 199409-2127-002

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
142306
Migrated
ICR Details
2127-0566 199409-2127-002
Historical Active 199110-2127-001
DOT/NHTSA
DRUG OFFENDER'S LICENSE SUSPENSION CERTIFICATION
Extension without change of a currently approved collection   No
Regular
Approved without change 10/25/1994
Retrieve Notice of Action (NOA) 09/27/1994
  Inventory as of this Action Requested Previously Approved
10/31/1997 10/31/1997 10/31/1994
52 0 52
260 0 260
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 LA 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 52 0 0 0 0
Annual Time Burden (Hours) 260 260 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.
09/27/1994


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