NOTICE OF CANCELLATION - MOTOR CARRIER AND FREIGHT FORWARDER CERTIFICATES OF INSURANCE

ICR 198401-3120-001

OMB: 3120-0081

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3120-0081 198401-3120-001
Historical Active 198112-3120-003
ICC
NOTICE OF CANCELLATION - MOTOR CARRIER AND FREIGHT FORWARDER CERTIFICATES OF INSURANCE
Revision of a currently approved collection   No
Regular
Approved without change 04/05/1984
Retrieve Notice of Action (NOA) 01/13/1984
This information collection is approved through 10/31/84 only. It mus be resubmitted in a single clearance request (with a single supporting statement) covering all ICC financial responsibility forms used by the trucking industry. In estimating the burden for this combined "Financial Responsibility--Trucking" package, the justification statement must include a separate burden calculation for each form for which OMB approval is sought. The justification statement must also include a brief discussion of the ICC's efforts, if any, to reduce the burden associated with these various forms.
  Inventory as of this Action Requested Previously Approved
10/31/1984 10/31/1984 02/28/1984
9,661 0 9,650
2,415 0 2,413
0 0 0

THIS FORM IS USED TO NOTIFY THE COMMISSION THAT AN ICC REGULATED MOTOR CARRIER OR FREIGHT FORWARDER HAS CANCELLED ITS REQUIRED BODILY INJURY AND PROPERTY DAMAGE LIABILITY OR CARGO LIABILITY INSURANCE COVERAGE.

None
None


No

1
IC Title Form No. Form Name
NOTICE OF CANCELLATION - MOTOR CARRIER AND FREIGHT FORWARDER CERTIFICATES OF INSURANCE BMC-35

  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 9,661 9,650 0 11 0 0
Annual Time Burden (Hours) 2,415 2,413 0 2 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.
01/13/1984


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