Carrier Retrieval of Monthly Roadside Violations/Crash Reports

Evaluation of the Effectiveness of the Training and Education Modules in the North American Fatigue Management Program

Documents and Forms

Document Name Document Type
Att. F-1 Example Carrier Safety and ELD Data.docx Instruction

Information Collection (IC) Details

IC Title:	Carrier Retrieval of Monthly Roadside Violations/Crash Reports	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
Instruction			Att. F-1 Example Carrier Safety and ELD Data.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	339	339

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.