Information Collection Request

National Consumer Complaint Database (NCCDB)

ICR 202112-2126-003 · OMB 2126-0067 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NCCDB Form 6 Medical Review Officer (MRO) Complaints Form and Instruction New Available
Form NCCDB Form 6 IC-6: Medical Review Officer (MRO) Complaints Form and Instruction New Repair queued
Form NCCDB Form 5 Driver Substance Abuse Practitioner (SAP) Complaints Form and Instruction New Repair queued
Form NCCDB Form 5 IC-5: Substance Abuse Practitioner (SAP) Complaints Form and Instruction New Repair queued
Form Form 4b Driver ELD Provider Complaint ELD Provider Information Form and Instruction New Available
Form NCCDB Form 4 Electronic Log Device (ELD) Complaints Form and Instruction New Available
Form NCCDB Form 4 IC-4: Electronic Log Device (ELD) Complaints Form and Instruction New Repair queued
Form Form 3b Bus Driver Complaint Form Form and Instruction Modified Available
Form NCCDB Form No. 3 NCCDB Driver Bus Complaints Online Form Form and Instruction Modified Repair queued
Form NCCDB Form No. 3 IC-3: Bus Complaint Form and Instruction Modified Repair queued
Form Form 2b Truck Driver Complaint Form Form and Instruction Modified Available
Form NCCDB Form No. 2 NCCDB Truck Complaints Online Form Form and Instruction Modified Available
Form NCCDB Form No. 2 IC-2: Truck Complaint Form and Instruction Modified Repair queued
Form NCCDB Form No.1 NCCDB Moving Complaints Online Form Form and Instruction Modified Available
Form NCCDB Form No.1 IC-1: Moving Complaint Form and Instruction Modified Repair queued
2126-0067 30-day FR.pdf Supplementary Document Uploaded 2022-02-23 Repair queued
2126-0067 Supporting Statement.docx Supporting Statement A Uploaded 2022-02-23 Repair queued
60-day FR for 2126-0067.pdf Supplementary Document Uploaded 2021-12-29 Repair queued
Attachment C - Section 4214 of the Safe, Accountable, and Flexible Transportation Equity Act A Legacy for Users, (SAFETEA-LU), Public Law 109-59, 119 Stat. 1144.docx Supplementary Document Uploaded 2018-02-20 Repair queued
Attachment B - Section 213 of The Motor Carrier Safety Improvement Act of 1999 Pub. L. 106-159, 113 Stat. 1748.docx Supplementary Document Uploaded 2018-02-20 Repair queued
Attachment A - Section 4017 Transportation Equity Act of the 21st Century Pub. L. 105-178 112 Stat. 107.docx Supplementary Document Uploaded 2018-02-20 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
250977 IC-6: Medical Review Officer (MRO) Complaints Form and Instruction NewMedical Review Officer (MRO) Complaints
250977 IC-6: Medical Review Officer (MRO) Complaints Form and Instruction New
250976 IC-5: Substance Abuse Practitioner (SAP) Complaints Form and Instruction NewDriver Substance Abuse Practitioner (SAP) Complaints
250976 IC-5: Substance Abuse Practitioner (SAP) Complaints Form and Instruction New
250962 IC-4: Electronic Log Device (ELD) Complaints Form and Instruction NewDriver ELD Provider Complaint ELD Provider Information
250962 IC-4: Electronic Log Device (ELD) Complaints Form and Instruction NewElectronic Log Device (ELD) Complaints
250962 IC-4: Electronic Log Device (ELD) Complaints Form and Instruction New
230195 IC-3: Bus Complaint Form and Instruction ModifiedBus Driver Complaint Form
230195 IC-3: Bus Complaint Form and Instruction ModifiedNCCDB Driver Bus Complaints Online Form
230195 IC-3: Bus Complaint Form and Instruction Modified
230194 IC-2: Truck Complaint Form and Instruction ModifiedTruck Driver Complaint Form
230194 IC-2: Truck Complaint Form and Instruction ModifiedNCCDB Truck Complaints Online Form
230194 IC-2: Truck Complaint Form and Instruction Modified
230193 IC-1: Moving Complaint Form and Instruction ModifiedNCCDB Moving Complaints Online Form
230193 IC-1: Moving Complaint Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2025 36 Months From Approved 06/30/2022
18,546 0 12,164
4,638 0 3,041
0 0 107,292





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
IC-1: Moving Complaint NCCDB Form No.1
IC-2: Truck Complaint NCCDB Form No. 2, Form 2b ,  
IC-3: Bus Complaint NCCDB Form No. 3, Form 3b ,  
IC-4: Electronic Log Device (ELD) Complaints NCCDB Form 4, Form 4b ,  
IC-5: Substance Abuse Practitioner (SAP) Complaints NCCDB Form 5
IC-6: Medical Review Officer (MRO) Complaints NCCDB Form 6

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 18,546 12,164 0 0 6,382 0
Annual Time Burden (Hours) 4,638 3,041 0 0 1,597 0
Annual Cost Burden (Dollars) 0 107,292 0 0 -107,292 0


Reginfo record details
  No