Information Collection

Drug Offenders' Drivers' License Suspension Certification

IC 25980 under ICR 201007-2125-003 · OMB 2125-0579.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FHWA 1559 Drug Offenders' Drivers' License Suspension Certification	Form and Instruction
FHWA 1559 Drug Offenders' Drivers' License Suspension Certificatio fhwa1559_mh.pdf	Form and Instruction
TITLE 23 192.doc Title 23 guidance	IC Document

IC Title:

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 and Instruction	FHWA 1559	Drug Offenders' Drivers' License Suspension Certification FHWA 1559	fhwa1559_mh.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.