IC2: Apprentice Driver Information Form & Informed Consent Form

Safe Driver Apprenticeship Pilot Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0075 can be found here:

Documents and Forms

Document Name Document Type
Form Form 2 IC2: Apprentice Driver Information Form & Informed Consent Form Form and Instruction
Form 2 Apprentice Driver Application Attachment H_SafeDriverAPP_Apprentice Driver_Application.docx Form and Instruction
Form 2 Apprentice Driver Application Attachment H_SafeDriverAPP_Apprentice Driver_Application.docx Form and Instruction

Information Collection (IC) Details

IC Title:	IC2: Apprentice Driver Information Form & Informed Consent Form	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 29

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 2	Apprentice Driver Application	Attachment H_SafeDriverAPP_Apprentice Driver_Application.docx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,680	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,680	-9,387	11,067
Annual IC Time Burden (Hours)	560	-3,129	3,689
Annual IC Cost Burden (Dollars)	0	0	0

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.