Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements; Subject to DOL Safety Standards

ICR 200405-1215-001

OMB: 1215-0036

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1215-0036 200405-1215-001
Historical Active 200104-1215-003
DOL/ESA
Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements; Subject to DOL Safety Standards
Extension without change of a currently approved collection   No
Regular
Approved without change 07/09/2004
Retrieve Notice of Action (NOA) 05/10/2004
  Inventory as of this Action Requested Previously Approved
07/31/2007 07/31/2007 07/31/2004
3,060 0 3,600
255 0 300
141,000 0 166,000

The Migrant and Seasonal Agricultural Worker Protection Act requires any person who intends to transport workers to submit a statement identifying the vehicle used and evidence that such vehicle conforms to certain safety requirements.

None
None


No

1
IC Title Form No. Form Name
Vehicle Mechanical Inspection Report for Transportation Subject to DOT Requirements; Subject to DOL Safety Standards WH-514, WH-514A

  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 3,060 3,600 0 0 -540 0
Annual Time Burden (Hours) 255 300 0 0 -45 0
Annual Cost Burden (Dollars) 141,000 166,000 0 -25,000 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.
05/10/2004


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