Burden Calculation Spreadsheet

Copy of OMB 2105-0529 Burden Calculation 2023.xlsx

Procedures for Transportation Drug and Alcohol Testing Program

Burden Calculation Spreadsheet

OMB: 2105-0529

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PRA Item Number of Respondents Number of Responses Burden per Response (min) Responses Per Respondent Burden per Respondent (min) Burden Hours Per Respondent Validation Column (in Hours) Total Burden Hours Total Salary Costs($)




c/b e*d f/60 [(b*f)/60]


Exemptions from Regulation Provisions Requests [40.7(a)] 1 1 180 1 180 3 3 3 $122
Employer Stand-down Waiver Requests [40.21(b)] - - 480 -
- - - $0
Employee Testing Records from Previous Employers [40.25(a)] 549,029 990,596 8 2 14 0 132,079 132,079 $5,387,502
Employee Release of Information [40.25(f)] 549,029 990,596 8 2 14 0 132,079 132,079 $5,387,502
MIS Form Submission [40.26] 19,699 19,699 90 1 90 2 29,549 29,549 $1,205,304
Urine Collector (Qualification and Refresher) Training Documentation (40.33(b) & (e)] 5,000 5,000 4 1 4 0 333 333 $13,583
Urine Collector Error Correction Training Documentation [40.33(f)] 17,980 17,980 4 1 4 0 1,199 1,199 $48,907
Oral Fluid Collector (Qualification and Refresher) Training Documentation (40.35(b) & (e)] 5,000 5,000 4 1 4 0 333 333 $13,583 new
Oral Fluid Collector Error Correction Training Documentation [40.35(f)] 17,980 17,980 4 1 4 0 1,199 1,199 $48,907 new
Laboratory Reports to DOT Regarding Unlisted Adulterant [40.87(e)] - - 30 - - - - - $0
Semi-Annual Laboratory Reports to Employers [40.111(a)] 19 365,983 4 19,262 77,049 1,284 24,399 24,399 $995,235
Semi-Annual Laboratory Reports to DOT [40.111(d)] 19 456 4 24 96 2 30 30 $1,224
Medical Review Officer (MRO) (Qualifications and Continuing Education) Training Documentation [40.121(c) & (d)] 1,000 1,000 4 1 4 0 67 67 $2,733
MRO Review of Negative Results Documentation [[40.127(b)(2)(ii)] 5,000 351,135 4 70 281 5 23,409 23,409 $954,853
MRO Failure to Contact Donor Documentation [40.131(c)(1)] 5,000 50,787 4 10 41 1 3,386 3,386 $138,115
MRO Effort to Contact DER Documentation [40.131(c)(2)(iii)] 5,000 57,624 4 12 46 1 3,842 3,842 $156,715
DER Successful Contact Employee Documentation [40.131(d)] 46,099 46,099 4 1 4 0 3,073 3,073 $125,348
DER Failure to Contact Employee Documentation [40.131(d)(2)(i)] 11,525 11,525 4 1 4 0 768 768 $31,327
MRO Verification of Positive Result Without Interview Documentation [40.133]. 5,000 11,525 4 2 9 0 768 768 $31,327
Adulterant/Substitution Evaluation Physician Statements [40.145(g)(2)(ii)(d)] - - 30 - - - - - $0
MRO Cancellation of Adulterant / Substitution for Legitimate Reason Reports [40.145(g)(5)] - - 30 - - - - - $0
Employee Admission of Adulterating / Substituting Specimen MRO Determination [40.159(c)] 40 40 4 1 4 0 3 3 $122
Split Specimen Requests by MRO [40.171(c)] 5,000 11,932 4 2 10 0 795 795 $32,428
Split Failure to Reconfirm for Drugs Reports by MRO [40.187(b)] 70 70 4 1 4 0 5 5 $204
Split Failure to Reconfirm for Adulterant / Substitution Reports by MRO [40.187(c)] 8 8 5 1 5 0 1 1 $41
Shy Bladder Physician Statements [40.193(f)] 719 719 5 1 5 0 60 60 $2,447
MRO Statements Regarding Physical Evidence of Drug Use [40.195(b) & (c)] - - - - - - - - $0
Drug Test Correction Statements [40.205 (b)(1) & (2)] 25,000 143,840 8 6 46 1 19,179 19,179 $782,311
Breath Alcohol Technician (BAT) / Screening Test Technician (STT) (Qualification and Refresher) Training Documentation [40.213(b)(c)&(e)] 2,000 2,000 4 1 4 0 133 133 $5,425
BAT/STT Error Correction Training Documentation [40.213(f)] 401 401 4 1 4 0 27 27 $1,101
Complete DOT Alcohol Testing Forms [40.225(a)] 10,000 8,025,159 8 803 6,420 107 1,070,021 1,070,021 $43,646,157
Evidential Breath Testing Device Quality Assurance / Calibration Records [40.233(c)(4)] 10,000 10,000 4 1 4 0 667 667 $27,166
Shy Lung Physician Statements [40.265(c)(2)] 401 401 4 1 4 0 27 27 $1,101
Alcohol Test Correction Statements [40.271(b)(1)&(2)] 803 803 4 1 4 0 54 54 $2,203
Substance Abuse Professional (SAP) (Qualification and Continuing Education) Training Documentation [40.281(c)&(d)] 3,334 3,334 4 1 4 0 222 222 $9,055
Employer SAP Lists to Employees [40.287] 116,467 116,467 4 1 4 0 7,764 7,764 $316,694
SAP Reports to Employers [40.311(c),(d) & (e)] 10,000 201,258 4 20 81 1 13,417 13,417 $547,279
Correction Notices to Service Agents [40.373(a)] 25 25 60 1 60 1 25 25 $1,020
Notice of Proposed Exclusion (NOPE) to Service Agents [40.375(a)] 5 5 600 1 600 10 50 50 $2,040
Service Agent Requests to Contest Public Interest Exclusions (PIE) [40.379(b)] 2 2 60 1 60 1 2 2 $82
Service Agent Information to Argue PIE [40.379(b)(2)] 2 2 240 1 240 4 8 8 $326
Service Agent Information to Contest PIE [40.381(a) & (b)] 2 2 240 1 240 4 8 8 $326
Notices of PIE to Service Agents [40.399] 1 1 60 1 60 1 1 1 $41
Notices of PIE to Employer and Public [40.401 (b) & (d)] 1 1 60 1 60 1 1 1 $41
Service Agent PIE Notices to Employers [40.403 (a)] 1 300 30 300 9,000 150 150 150 $6,119
Total New 1,426,662 11,459,756 2,328 20,542 94,771 1,580 1,469,136 1,469,136 $59,926,016











Sum of columns 1,426,662 11,459,756 2,328 20,542 94,771 1,580 1,469,136 1,469,136 59,926,016
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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