Information Collection

Older Driver Compliance with Licensing Restrictions

IC 209885 under ICR 201312-2127-004 · OMB 2127-0702.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form 1186 Older Driver Compliance with Licensing Restrictions	Form
NHTSA Form 1186 Older Driver Compliance with License Restrictions Partic ODLR_NHTSA Form 1186.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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	NHTSA Form 1186	Older Driver Compliance with License Restrictions Participant Screening Questionnaire	ODLR_NHTSA Form 1186.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	955	955

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.