Impaired Driving Court (IDC) Grant Application

Indian Highway Safety Grants

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0190 can be found here:

Documents and Forms

Document Name Document Type
Impaired Driving Court (IDC) Grant Application Form
Impaired Driving Court Grant Application Impaired Driving Court Grant Application (PRA).xlsx Form
Impaired Driving Court Grant Application Impaired Driving Court Grant Application (PRA).xlsx Form
Application - ID Court.xlsx IMPAIRED DRIVING ADJUDICATION COURT APPLICATION IC Document
Application - ID Court.xlsx IMPAIRED DRIVING ADJUDICATION COURT APPLICATION IC Document

Information Collection (IC) Details

IC Title:	Impaired Driving Court (IDC) Grant Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 23 CFR 1300

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Impaired Driving Court Grant Application	Impaired Driving Court Grant Application (PRA).xlsx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IMPAIRED DRIVING ADJUDICATION COURT APPLICATION	Application - ID Court.xlsx	09/12/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.