Information Collection

IC3: Designate Consortia/3rd Party Administrators

IC 239089 under ICR 202301-2126-002 · OMB 2126-0057.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

IC3: Designate Consortia/3rd Party Administrators

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 382

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

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title: DOT/FMCSA 010 Drug and Alcohol Clearinghouse

FR Citation: 84 FR 56521

Number of Respondents: 4,550

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,550	-515,450	520,000
Annual IC Time Burden (Hours)	758	-85,909	86,667
Annual IC Cost Burden (Dollars)	0	-3,000,000	3,000,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.