Information Collection

Vehicle Mechanical Inspection Report

IC 202140 under ICR 202105-1235-001 · OMB 1235-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1235-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH 514 Vehicle Mechanical Inspection Report	Form and Instruction
Form WH 514 Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements Vehicle Mechanical Inspection Report	Form and Instruction
Form WH 514a Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards Vehicle Mechanical Inspection Report	Form and Instruction
Edits to Instruction Page on Website 2.16.21.docx	Instruction
Edits to Instruction Page on Website 2.16.21.docx	Instruction
WH 514 Vehicle Mechanical Inspection Report for Transportation WH514_clean_final 020520.docx www.dol.gov/whd/forms/wh514.pdf	Form and Instruction
WH 514 Vehicle Mechanical Inspection Report for Transportation WH514_clean_final 020520.docx www.dol.gov/whd/forms/wh514.pdf	Form and Instruction
WH 514a Vehicle Mechanical Inspection Report for Transportation wh514a_clean_final.docx www.dol.gov/whd/forms/wh514a.pdf	Form and Instruction
WH 514a Vehicle Mechanical Inspection Report for Transportation wh514a_clean_final.docx www.dol.gov/whd/forms/wh514a.pdf	Form and Instruction

IC Title:

Vehicle Mechanical Inspection Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 500.45(b) 29 CFR 500.100-.105

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	WH 514	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements	WH514_clean_final 020520.docx	https://www.dol.gov/whd/forms/wh514.pdf	Yes	No	Fillable Printable
Form and Instruction	WH 514a	Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards	wh514a_clean_final.docx	https://www.dol.gov/whd/forms/wh514a.pdf	Yes	No	Fillable Printable
Instruction			Edits to Instruction Page on Website 2.16.21.docx		Yes	No	Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: ESA/DOL-34 and ESA/DOL-35

FR Citation: 67 FR 16818

Number of Respondents: 1,432

Number of Respondents for Small Entity: 1,332

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	8,472	8,472
Annual IC Time Burden (Hours)	706	706
Annual IC Cost Burden (Dollars)	330,408	330,408

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.