Information Collection

IC5: Report/Notify Positive Tests/Other Violations

IC 239091 under ICR 201912-2126-002 · OMB 2126-0057.

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Information Collection (IC) Details

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IC Title:	IC5: Report/Notify Positive Tests/Other Violations	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 382

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: Ground Transportation

Privacy Act System of Records
Title: DOT/FMCSA 010 Drug and Alcohol Clearinghouse	FR Citation: 84 FR 56521

Number of Respondents: 117,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	117,000	117,000
Annual IC Time Burden (Hours)	19,500	19,500
Annual IC Cost Burden (Dollars)	700,000	700,000

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