Information Collection

IC-1.4 Hiring Motor Carrier Requests Safety Performance History from Applicant's Prior Employers

IC 238291 under ICR 202502-2126-003 · OMB 2126-0004.

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Information Collection (IC) Details

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IC Title:	IC-1.4 Hiring Motor Carrier Requests Safety Performance History from Applicant's Prior Employers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 391.23(a)(2) and (c)(1)

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:	FR Citation:

Number of Respondents: 12,620,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,620,000	-190,000	12,810,000
Annual IC Time Burden (Hours)	4,200,000	-70,000	4,270,000
Annual IC Cost Burden (Dollars)	0	0	0

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