Information Collection

MSPA Vehicle Mechanical Inspection Report

IC 13666 under ICR 201005-1235-001 · OMB 1235-0017.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH-514 MSPA Vehicle Mechanical Inspection Report	Form and Instruction
WH-514 Vehicle Mechanical Inspection Report for Transportation wh514(exp2010).pdf www.dol.gov/whd/forms/wh514.pdf	Form and Instruction
WH-514a Vehicle Mechanical Inspection Report for Transportation wh514a(exp2010).pdf www.dol.gov/whd/forms/wh514a.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 500.100 29 CFR 500.101 29 CFR 500.102 29 CFR 500.45(b) 29 CFR 500.104 29 CFR 500.105(1(H)-(I)

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 and Instruction	WH-514	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements	wh514(exp2010).pdf	http://www.dol.gov/whd/forms/wh514.pdf	Yes	No	Fillable Printable
Form and Instruction	WH-514a	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards	wh514a(exp2010).pdf	http://www.dol.gov/whd/forms/wh514a.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 300

Affected Public: Private Sector

Private Sector: Farms, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	70,200	70,200

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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