Information Collection

Medical Review Guidelines and Medical Advisory Board Practices

IC 211232 under ICR 201404-2127-004 · OMB 2127-0705.

Documents and Forms

Document Name Document Type
Form NHTSA Form 1228 Medical Review Guidelines and Medical Advisory Board Practices Form and Instruction
NHTSA Form 1228 DRIVER MEDICAL REVIEW PRACTICES DTNH2209D00135TO8_Survey - v1 0 1.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medical Review Guidelines and Medical Advisory Board Practices	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NHTSA Form 1228	DRIVER MEDICAL REVIEW PRACTICES	DTNH2209D00135TO8_Survey - v1 0 1.docx		No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	255	255
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.