View Information Collection (IC)

View Information Collection (IC)

IC Title:	Procedures for Transportation Drug and Alcohol Testing Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR Part 40 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DOT F 1385	MIS Data Collection Form	Rev_MIS_Form.doc	http://www.dot.gov/sites/dot.dev/files/docs/ODAPC%2040%20Appendix%20H.pdf	Yes	Yes	Fillable Fileable
Form	DOT F 1380	Breath Alcohol Testing Form	Rev_Federal_ATF.doc	http://www.dot.gov/sites/dot.dev/files/docs/ODAPC%2040%20Appendix%20G.pdf	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,034,690	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 89 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	7,221,367	0	0	673,324	0	6,548,043
Annual IC Time Burden (Hours)	748,196	0	0	69,210	0	678,986
Annual IC Cost Burden (Dollars)	0	0	0	0	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.