Appendix F to Part 40 Appendix F to Part 40—Report Format: Split Specimen Failure To Reconfirm
Current wording, effective June 1, 2023.
LinkMail, to an amendment published at 88 FR 27651fax, Mayor 2,submit 2023.electronically to:
Linkan amendment published at 88 FR 27652, May 2, 2023U.S.
1IfDepartment youof are a C/TPATransportation, youOffice may, acting as an intermediary, transmit the information in the following sections of thisDrug partand toAlcohol thePolicy DERand for an employerCompliance, if1200 theNew employerJersey choosesAvenue toSE, haveWashington, youDC do so20590.
Fax: These(202) are366-3897.
Submit theElectronically: onlyhttps://www.transportation.gov/odapc/mro-split-specimen-cancellation-notification.
The following items that you are permittedrequired toon transmiteach to the employer as an intermediaryreport:
1. TheMRO use of C/TPA intermediaries is prohibited in all other casesname, such as transmission of laboratory drug test results to MROsaddress, thephone transmission of medical information from MROs to employersnumber, the transmission of SAP reports to employers, the transmission of positive alcohol test results, and thefax transmission of medical information from MROs to employersnumber.
2. InCollection everysite casename, you must ensure thataddress, inand transmittingphone the information, you meet all requirements (enumber.g
3., concerningDate confidentialityof and timing) that would apply if the party originating the information (ecollection.g
4., anSpecimen MRO or collector) sent the information directly to the employerI. For example, if you transmit MROs' drug testing results to DERs, you must transmit each drug test result to the DER in compliance with the requirements for MROs set forth in § 40D.167.
DrugTesting Informationnumber.
§ 4025: Previous two years' test results§ 405.35: NoticeSpecimen to collectors of contact information for DERtype.§ 406.61(a): NotificationLaboratory toaccession DER that an employee is a “no show” for a drug testnumber.§ 407.63(e): NotificationPrimary tospecimen DERlaboratory ofname, aaddress, collectionand underphone direct observationnumber.§ 408.65(b)(6) andDate (7)result andreported (c)(2) and (3): Notification to DER of a refusal to provide a specimen or ancertified insufficientby specimenprimary
§40laboratory.73(a)(
9):. TransmissionSplit ofspecimen CCFlaboratory copies to DER (Howevername, MRO copy of CCF must be sent by collector directly to the MROaddress, notand throughphone the C/TPAnumber.)§ 4010.111(a): TransmissionDate ofsplit laboratoryspecimen statisticalresult reportreported toor employercertified
§40.127(f):by Reportsplit ofspecimen test results to DERlaboratory.
§§ 40127(g), 40.129(d), 40.159(a)(4)(ii); 40.161(b): Reports to DER that test is cancelled§ 4011.129 (d):Primary Reportspecimen of test results to DER(e.g
§ 40.129)(1):., Reportname to DER of confirmeddrug, positiveadulterant) test in stand-downthe situationprimary
§§40specimen.149(b): Report to DER of changed test result§ 4012.155(a): ReportReason tofor DERsplit of dilute specimen
§40.167(b) and (c): Reports of test results failure-to-reconfirm DERresult
§40.187(a)-(e) Reports to DER concerning the reconfirmation of tests.
§ 40191(d): Notice to DER concerning refusals to testg.
§ 40193(b)(3):, Notificationdrug toor DERadulterant ofnot refusalpresent, inspecimen shyinvalid, bladdersplit situationnot
§40.193(b)(4):collected, Notification to DER of insufficient specimenvolume).§ 4013.193(b)(5): TransmissionActions oftaken CCFby copiesthe to DER (not to MRO)
§40(e.199:g., Reportnotified toemployer DER of cancelledfailure testto reconfirm and directionrequirement to DER for additional re-collection).
§ 40201: Report to DER of cancelled testAlcohol Testing Information14.
§ 40215: NoticeAdditional to BATs and STTs of contact information forexplaining DERthe
§40.241(b)(1):reason Notification to DER that an employee is a “no show” for an alcohol testcancellation.§ 4015.247(a)(2): TransmissionName of alcoholindividual screeningsubmitting test results only when the testreport result is less than 0.02(
§ 40.255a)(4):if Transmissionnot of alcohol confirmation test results only when the test result is less than 0MRO).02§ 40.263(a)(3) and 263(b)(3): Notification of insufficient saliva and failure to provide sufficient amount of breath[6588 FR 7952627652, Dec.May 192, 2000, as amended at 66 FR 41955, Aug. 9, 2001; 73 FR 35975, June 25, 20082023]
Mail, fax, or submit electronically to: U.S. Department of Transportation, Office of Drug and Alcohol Policy and Compliance, 1200 New Jersey Avenue SE, Washington, DC 20590.
Fax: (202) 366-3897.
Submit Electronically: https://www.transportation.gov/odapc/mro-split-specimen-cancellation-notification.
The following items are required on each report:
1. MRO name, address, phone number, and fax number.
2. Collection site name, address, and phone number.
3. Date of collection.
4. Specimen I.D. number.
5. Specimen type.
6. Laboratory accession number.
7. Primary specimen laboratory name, address, and phone number.
8. Date result reported or certified by primary laboratory.
9. Split specimen laboratory name, address, and phone number.
10. Date split specimen result reported or certified by split specimen laboratory.
11. Primary specimen results (e.g., name of drug, adulterant) in the primary specimen.
12. Reason for split specimen failure-to-reconfirm result (e.g., drug or adulterant not present, specimen invalid, split not collected, insufficient volume).
13. Actions taken by the MRO (e.g., notified employer of failure to reconfirm and requirement for re-collection).
14. Additional information explaining the reason for cancellation.
15. Name of individual submitting the report (if not the MRO).
[88 FR 27652, May 2, 2023]
Amendment history
4 distinct wordings on file since Oct. 1, 2001- [88 FR 27652, May 2, 2023]
- [65 FR 79526, Dec. 19, 2000, as amended at 66 FR 41955, Aug. 9, 2001; 73 FR 35975, June 25, 2008]
- [65 FR 79526, Dec. 19, 2000, as amended at 66 FR 41955, Aug. 9, 2001; 73 FR 35975, June 25, 2008]
- Oct. 1, 2001 → Oct. 1, 2008annual editions 2001–2007[65 FR 79526, Dec. 19, 2000, as amended at 66 FR 41955, Aug. 9, 2001]
A new entry appears whenever the regulatory words change between government snapshots. Day-precise from the eCFR (2017 onward); before that, one snapshot per annual CFR edition (revised as of October 1). Bracketed citations are the Federal Register history printed with the section. Set a case date in the header to read any earlier wording.