Safe Driver Apprenticeship Pilot Program

ICR 202403-2126-002

OMB: 2126-0075

Federal Form Document

⚠️ Notice: This information collection may be outdated.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

2024-09-20 - Extension without change of a currently approved collection

Forms and Documents

Document Name	Status
Form Form 5a IC-5a: Carrier submits monthly driving and safety data for each apprentice driver. Form and Instruction	Modified
Form Form 5a IC-5a: Carrier submits monthly driving and safety data for each apprentice driver. Form and Instruction	Modified
Form Form 4 IC-4: Performance Benchmark Certifications Form and Instruction	Unchanged
Form Form 4 IC-4: Performance Benchmark Certifications Form and Instruction	Unchanged
Form Form 3 IC-3: Experienced Driver Information Form & Informed Consent Form Form and Instruction	Unchanged
Form Form 3 IC-3: Experienced Driver Information Form & Informed Consent Form Form and Instruction	Unchanged
Form Form 2 IC2: Apprentice Driver Information Form & Informed Consent Form Form and Instruction	Modified
Form Form 2 IC2: Apprentice Driver Information Form & Informed Consent Form Form and Instruction	Modified
Form Form 1 IC-1: Motor Carrier Application Form and Instruction	Modified
Form Form 1 IC-1: Motor Carrier Application Form and Instruction	Modified
BILLS-118hr4366enr.pdf Supplementary Document	2024-04-01
BILLS-118hr4366enr.pdf Supplementary Document	2024-04-01
Action Memo to OMB for Emergency Review Request of the SDAP Program ICR 2126-0075 03.30.24.pdf Supplementary Document	2024-04-01
Action Memo to OMB for Emergency Review Request of the SDAP Program ICR 2126-0075 03.30.24.pdf Supplementary Document	2024-04-01
PRA-2126-0075 Supporting Statement Part A Emergency Review Request Revision 03.29.24.docx Supporting Statement A	2024-03-29
PRA-2126-0075 Supporting Statement Part A Emergency Review Request Revision 03.29.24.docx Supporting Statement A	2024-03-29
PRA-2126-0075 Supporting Statement Part B Emergency Review Request Revision 03.29.24.docx Supporting Statement B	2024-03-29
PRA-2126-0075 Supporting Statement Part B Emergency Review Request Revision 03.29.24.docx Supporting Statement B	2024-03-29
Attachment E_49 CFR 381.400.docx Supplementary Document	2022-01-03
Attachment E_49 CFR 381.400.docx Supplementary Document	2022-01-03
Attachment C_CFR 381.docx Supplementary Document	2022-01-03
Attachment C_CFR 381.docx Supplementary Document	2022-01-03
Attachment B_IIJA Section 23022.docx Supplementary Document	2022-01-03
Attachment B_IIJA Section 23022.docx Supplementary Document	2022-01-03
Attachement A_CFR part 391.11(b)(1).docx Supplementary Document	2022-01-03
Attachement A_CFR part 391.11(b)(1).docx Supplementary Document	2022-01-03

IC Document Collections

IC ID	Document Title	Status
250992	IC5b: Miscellaneous additional data submissions	Unchanged
250991	IC-5a: Carrier submits monthly driving and safety data for each apprentice driver. Form and Instruction	Modified
250991	IC-5a: Carrier submits monthly driving and safety data for each apprentice driver. Form and Instruction	Modified
250990	IC-4: Performance Benchmark Certifications Form and Instruction	Unchanged
250990	IC-4: Performance Benchmark Certifications Form and Instruction	Unchanged
250989	IC-3: Experienced Driver Information Form & Informed Consent Form Form and Instruction	Unchanged
250989	IC-3: Experienced Driver Information Form & Informed Consent Form Form and Instruction	Unchanged
250988	IC2: Apprentice Driver Information Form & Informed Consent Form Form and Instruction	Modified
250988	IC2: Apprentice Driver Information Form & Informed Consent Form Form and Instruction	Modified
250987	IC-1: Motor Carrier Application Form and Instruction	Modified
250987	IC-1: Motor Carrier Application Form and Instruction	Modified

ICR Details