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Drug Offender's License Suspension Certification
DRUG OFFENDER'S LICENSE SUSPENSION CERTIFICATION
OMB: 2127-0003
IC ID: 142000
OMB.report
DOT/NHTSA
OMB 2127-0003
ICR 199106-2127-001
IC 142000
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0003 can be found here:
2016-04-28 - Extension without change of a currently approved collection
2012-12-19 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DRUG OFFENDER'S LICENSE SUSPENSION CERTIFICATION
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HS-62
No
No
Form
62A
No
No
Form
217
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
57
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
57
0
0
0
0
57
Annual IC Time Burden (Hours)
528
0
0
0
0
528
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.