ENDORSEMENT FOR MOTOR CARRIER POLICIES OF INSURANCE FOR AUTOMOBILE BODILY INJURY AND PROPERTY DAMAGE LIABILITY UNDER SECTION 10927 TITLE 49 OF THE UNITED STATES CODE

ICR 198212-3120-003

OMB: 3120-0086

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3120-0086 198212-3120-003
Historical Active 198112-3120-008
ICC
ENDORSEMENT FOR MOTOR CARRIER POLICIES OF INSURANCE FOR AUTOMOBILE BODILY INJURY AND PROPERTY DAMAGE LIABILITY UNDER SECTION 10927 TITLE 49 OF THE UNITED STATES CODE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/13/1982
Retrieve Notice of Action (NOA) 12/08/1982
  Inventory as of this Action Requested Previously Approved
02/28/1984 02/28/1984
1,500 0 0
375 0 0
0 0 0

THIS RECORD ATTACHED TO EXISTING INSURANCE POLICIES ENSURES THAT AN ICC REGULATED MOTOR CARRIER OF PROPERTY OR PASSENGERS HAS THE MINIMUM REQUIRED AMOUNT OF PERSONAL AND PROPERTY LIABILITY INSURANCE (49 CFR 1043). THE INSURANCE COMPANIES USE THIS RECORD TO ESTABLISH THE CONTRACTURAL AGREEMENTS THE ICC REQUIRES.

None
None


No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,500 0 0 1,500 0 0
Annual Time Burden (Hours) 375 0 0 375 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/08/1982


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