Form 5a Form 5a Monthly Data Submission Revised

Safe Driver Apprenticeship Pilot Program

IC-5a Revision for Emergency Review Request

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

OMB: 2126-0075

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2126-0075 can be found here:

2024-09-20 - Extension without change of a currently approved collection

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