Information Collection

Vehicle Mechanical Inspection Report

IC 202140 under ICR 202501-1235-001 · OMB 1235-0016.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form WH 514 Vehicle Mechanical Inspection Report	Form and Instruction
Form WH 514 Vehicle Mechanical Inspection Report for Transportation Subject to Department of Transportation Requirements Vehicle Mechanical Inspection Report	Form and Instruction
Form WH 514a Vehicle Mechanical Inspection Report for Transportation Subject to Department of Labor Safety Standards Vehicle Mechanical Inspection Report	Form and Instruction
WH 514 Vehicle Mechanical Inspection Report for Transportation WH514_clean_final 020520.docx www.dol.gov/whd/forms/wh514.pdf	Form and Instruction
WH 514 Vehicle Mechanical Inspection Report for Transportation WH514_clean_final 020520.docx www.dol.gov/whd/forms/wh514.pdf	Form and Instruction
WH 514a Vehicle Mechanical Inspection Report for Transportation wh514a_clean_final.docx www.dol.gov/whd/forms/wh514a.pdf	Form and Instruction
WH 514a Vehicle Mechanical Inspection Report for Transportation wh514a_clean_final.docx www.dol.gov/whd/forms/wh514a.pdf	Form and Instruction

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: 29 CFR 500.45(b) 29 CFR 500.100-.105

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	WH 514			https://www.dol.gov/whd/forms/wh514.pdf	Yes	No	Fillable Printable
Form and Instruction	WH 514a			https://www.dol.gov/whd/forms/wh514a.pdf	Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: ESA/DOL-34 and ESA/DOL-35

FR Citation: 67 FR 16818

Number of Respondents: 1,891

Number of Respondents for Small Entity: 1,891

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	25,237	25,237
Annual IC Time Burden (Hours)	2,103	2,103
Annual IC Cost Burden (Dollars)	942,779	942,779

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.

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