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Drug Offenders' Drivers' License Suspension Certification
Drug Offenders' Drivers' License Suspension Certification
OMB: 2125-0579
IC ID: 25980
OMB.report
DOT/FHWA
OMB 2125-0579
ICR 201007-2125-003
IC 25980
( )
Documents and Forms
Document Name
Document Type
Form FHWA 1559
Drug Offenders' Drivers' License Suspension Certification
Form and Instruction
FHWA 1559 Drug Offenders' Drivers' License Suspension Certificatio
fhwa1559_mh.pdf
Form and Instruction
TITLE 23 192.doc
Title 23 guidance
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Drug Offenders' Drivers' License Suspension Certification
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
23 CFR 192
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
FHWA 1559
Drug Offenders' Drivers' License Suspension Certification FHWA 1559
fhwa1559_mh.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
52
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
5 %
Approved
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
52
0
0
0
0
52
Annual IC Time Burden (Hours)
260
0
0
0
0
260
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Title 23 guidance
TITLE 23 192.doc
07/16/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.