Information Collection

Request for Data to State Driver Licensing Agencies

IC 215847 under ICR 201503-2126-001 · OMB 2126-0059.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MCSA-5894 Request for Data to State Driver Licensing Agencies	Form
MCSA-5894 Request for Data to State Driver Licensing Agencies MCSA-5894 3-17-15.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1.87

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	MCSA-5894	Request for Data to State Driver Licensing Agencies	MCSA-5894 3-17-15.pdf		Yes	Yes	Fillable Fileable

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: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	995	995
Annual IC Cost Burden (Dollars)	48,195	48,195

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.