Information Collection

Refusal-to-test record (from reasonable suspicion)

IC 185227 under ICR 200805-1625-003 · OMB 1625-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0001 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Refusal-to-test record (from reasonable suspicion)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 16.250

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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