Information Collection

Impaired Driving Court (IDC) Grant Application

IC 231888 under ICR 202405-1076-012 · OMB 1076-0190.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Impaired Driving Court (IDC) Grant Application	Form
Impaired Driving Court Grant Application Impaired Driving Court Grant Application (PRA).xlsx	Form
Application - ID Court.xlsx IMPAIRED DRIVING ADJUDICATION COURT APPLICATION	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 23 CFR 1300

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	N/A	Impaired Driving Court Grant Application	Impaired Driving Court Grant Application (PRA).xlsx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
IMPAIRED DRIVING ADJUDICATION COURT APPLICATION	Application - ID Court.xlsx	09/12/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.