Information Collection

Drug Offenders' Drivers' License Suspension Certification

IC 25980 under ICR 200707-2125-003 · OMB 2125-0579.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0579 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FHWA-1559 Drug Offenders' Drivers' License Suspension Certification	Form
FHWA-1559 Drug Offenders Drivers License Suspension Certification fhwa1559.pdf intra.fhwa.dot.gov/informs/adobeforms/fhwa1559.pdf	Form
TITLE 23 192.doc Title 23 guidance	IC Document

IC Title:

Drug Offenders' Drivers' License Suspension Certification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 23 CFR 192

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FHWA-1559	Drug Offenders Drivers License Suspension Certification	fhwa1559.pdf	http://intra.fhwa.dot.gov/informs/adobeforms/fhwa1559.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	260	260
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Title 23 guidance	TITLE 23 192.doc	07/16/2007

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.