Information Collection

Impaired Driving Court (IDC) Grant Application

IC 231888 under ICR 202405-1076-012 · OMB 1076-0190.

Documents and Forms

Document Name Document Type
Impaired Driving Court (IDC) Grant Application Form
Impaired Driving Court Grant Application Impaired Driving Court Grant Application (PRA).xlsx Form
Application - ID Court.xlsx IMPAIRED DRIVING ADJUDICATION COURT APPLICATION IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Impaired Driving Court (IDC) Grant Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 23 CFR 1300

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Impaired Driving Court Grant Application	Impaired Driving Court Grant Application (PRA).xlsx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
IMPAIRED DRIVING ADJUDICATION COURT APPLICATION	Application - ID Court.xlsx	09/12/2021

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