Information Collection Request

Safe Driver Apprenticeship Pilot Program

ICR 202403-2126-002 · OMB 2126-0075 · Active

⚠️ Notice: This information collection may be outdated.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

2024-09-20 - Extension without change of a currently approved collection

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form Form 5a IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.	Form and Instruction	Modified	Available
Form Form 5a IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.	Form and Instruction	Modified	Repair queued
Form Form 4 IC-4: Performance Benchmark Certifications	Form and Instruction	Unchanged	Available
Form Form 4 IC-4: Performance Benchmark Certifications	Form and Instruction	Unchanged	Repair queued
Form Form 3 IC-3: Experienced Driver Information Form & Informed Consent Form	Form and Instruction	Unchanged	Available
Form Form 3 IC-3: Experienced Driver Information Form & Informed Consent Form	Form and Instruction	Unchanged	Repair queued
Form Form 2 IC2: Apprentice Driver Information Form & Informed Consent Form	Form and Instruction	Modified	Available
Form Form 2 IC2: Apprentice Driver Information Form & Informed Consent Form	Form and Instruction	Modified	Repair queued
Form Form 1 IC-1: Motor Carrier Application	Form and Instruction	Modified	Available
Form Form 1 IC-1: Motor Carrier Application	Form and Instruction	Modified	Repair queued
BILLS-118hr4366enr.pdf	Supplementary Document	Uploaded 2024-04-01	Available
BILLS-118hr4366enr.pdf	Supplementary Document	Uploaded 2024-04-01	Repair queued
Action Memo to OMB for Emergency Review Request of the SDAP Program ICR 2126-0075 03.30.24.pdf	Supplementary Document	Uploaded 2024-04-01	Available
Action Memo to OMB for Emergency Review Request of the SDAP Program ICR 2126-0075 03.30.24.pdf	Supplementary Document	Uploaded 2024-04-01	Repair queued
PRA-2126-0075 Supporting Statement Part A Emergency Review Request Revision 03.29.24.docx	Supporting Statement A	Uploaded 2024-03-29	Available
PRA-2126-0075 Supporting Statement Part A Emergency Review Request Revision 03.29.24.docx	Supporting Statement A	Uploaded 2024-03-29	Repair queued
PRA-2126-0075 Supporting Statement Part B Emergency Review Request Revision 03.29.24.docx	Supporting Statement B	Uploaded 2024-03-29	Available
PRA-2126-0075 Supporting Statement Part B Emergency Review Request Revision 03.29.24.docx	Supporting Statement B	Uploaded 2024-03-29	Repair queued
Attachment E_49 CFR 381.400.docx	Supplementary Document	Uploaded 2022-01-03	Available
Attachment E_49 CFR 381.400.docx	Supplementary Document	Uploaded 2022-01-03	Repair queued
Attachment C_CFR 381.docx	Supplementary Document	Uploaded 2022-01-03	Available
Attachment C_CFR 381.docx	Supplementary Document	Uploaded 2022-01-03	Repair queued
Attachment B_IIJA Section 23022.docx	Supplementary Document	Uploaded 2022-01-03	Available
Attachment B_IIJA Section 23022.docx	Supplementary Document	Uploaded 2022-01-03	Repair queued
Attachement A_CFR part 391.11(b)(1).docx	Supplementary Document	Uploaded 2022-01-03	Available
Attachement A_CFR part 391.11(b)(1).docx	Supplementary Document	Uploaded 2022-01-03	Repair queued

IC Document Collections

Information collection document groups
IC ID	Collection	Type	Status
250992	IC5b: Miscellaneous additional data submissions		Unchanged
250991	IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.	Form and Instruction	Modified
250991	IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.	Form and Instruction	Modified
250990	IC-4: Performance Benchmark Certifications	Form and Instruction	Unchanged
250990	IC-4: Performance Benchmark Certifications	Form and Instruction	Unchanged
250989	IC-3: Experienced Driver Information Form & Informed Consent Form	Form and Instruction	Unchanged
250989	IC-3: Experienced Driver Information Form & Informed Consent Form	Form and Instruction	Unchanged
250988	IC2: Apprentice Driver Information Form & Informed Consent Form	Form and Instruction	Modified
250988	IC2: Apprentice Driver Information Form & Informed Consent Form	Form and Instruction	Modified
250987	IC-1: Motor Carrier Application	Form and Instruction	Modified
250987	IC-1: Motor Carrier Application	Form and Instruction	Modified

ICR Details

Record metadata
Status	Active
Agency/Subagency	DOT/FMCSA
OMB Control No	2126-0075
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202206-2126-007
Date Submitted to OIRA	2024-04-01
Requested Expiration Date	2024-04-15