Information Collection

IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.

IC 250991 under ICR 202403-2126-002 · OMB 2126-0075.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 5a IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.	Form and Instruction
Form Form 5a IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.	Form and Instruction
Form 5a Monthly Data Submission Revised IC-5a Revision for Emergency Review Request.pdf	Form and Instruction
Form 5a Monthly Data Submission Revised IC-5a Revision for Emergency Review Request.pdf	Form and Instruction

IC Title:

IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 29

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
Form and Instruction	Form 5a	Monthly Data Submission Revised	IC-5a Revision for Emergency Review Request.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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	Previously Approved
Annual Number of Responses for this IC	36,000	36,000
Annual IC Time Burden (Hours)	36,000	36,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.