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Form 5a Form 5a Monthly Data Submission Revised
Safe Driver Apprenticeship Pilot Program
IC-5a Revision for Emergency Review Request
IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.
OMB: 2126-0075
OMB.report
DOT/FMCSA
OMB 2126-0075
ICR 202403-2126-002
IC 250991
Form 5a Form 5a Monthly Data Submission Revised
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2126-0075 can be found here:
2024-09-20 - Extension without change of a currently approved collection
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