Medical Review Guidelines and Medical Advisory Board Practices

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