Information Collection

IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.

IC 250991 under ICR 202403-2126-002 · OMB 2126-0075.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form Form 5a IC-5a: Carrier submits monthly driving and safety data for each apprentice driver. Form and Instruction
Form Form 5a IC-5a: Carrier submits monthly driving and safety data for each apprentice driver. Form and Instruction
Form 5a Monthly Data Submission Revised IC-5a Revision for Emergency Review Request.pdf Form and Instruction
Form 5a Monthly Data Submission Revised IC-5a Revision for Emergency Review Request.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	IC-5a: Carrier submits monthly driving and safety data for each apprentice driver.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 29

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 5a	Monthly Data Submission Revised	IC-5a Revision for Emergency Review Request.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	Previously Approved
Annual Number of Responses for this IC	36,000	36,000
Annual IC Time Burden (Hours)	36,000	36,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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