IC5: Report/Notify Positive Tests/Other Violations

Commercial Driver's License Drug and Alcohol Clearinghouse

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0057 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	IC5: Report/Notify Positive Tests/Other Violations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 382

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title: DOT/FMCSA 010 Drug and Alcohol Clearinghouse	FR Citation: 84 FR 56521

Number of Respondents: 117,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	117,000	117,000
Annual IC Time Burden (Hours)	19,500	19,500
Annual IC Cost Burden (Dollars)	700,000	700,000

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.