Information Collection

Control Driver Verbal Consent

IC 233185 under ICR 201809-2127-001 · OMB 2127-0744.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0744 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1421 Control Driver Verbal Consent	Form and Instruction
1421 Control Driver Verbal Consent Form 1421 Control Driver Verbal Consent Sept 2018.docx	Form and Instruction

IC Title:

Control Driver Verbal Consent

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 and Instruction	1421	Control Driver Verbal Consent	Form 1421 Control Driver Verbal Consent Sept 2018.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	9,000	9,000
Annual IC Time Burden (Hours)	1,383	1,383
Annual IC Cost Burden (Dollars)	17,640	17,640

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.