BODILY INJURY AND PROPERTY DAMAGE CERTIFICATE OF INSURANCE- MOTOR CARRIERS AND FREIGHT FORWARDERS

ICR 198401-3120-004

OMB: 3120-0096

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3120-0096 198401-3120-004
Historical Active 198201-3120-008
ICC
BODILY INJURY AND PROPERTY DAMAGE CERTIFICATE OF INSURANCE- MOTOR CARRIERS AND FREIGHT FORWARDERS
Revision of a currently approved collection   No
Regular
Approved without change 04/06/1984
Retrieve Notice of Action (NOA) 01/13/1984
This information collection is approved through 10/31/84 only. See remarks under "Notice of Cancellation--Motor Carrier and Freight Forwarder Certificates of Insurance," OMB No. 3120-0081, for instructions on resubmission.
  Inventory as of this Action Requested Previously Approved
10/31/1984 10/31/1984 02/28/1984
11,000 0 11,000
2,750 0 2,700
0 0 0

THIS FORM NOTIFIES THE COMMISSION THAT AN ICC REGULATED MOTOR CARRIER OR FREIGHT FORWARDER HAS ESTABLISHED THE REQUIRED MINIMUM AMOUNTS OF BODILY INJURY AND PROPERTY DAMAGE LIABILITY INSURANCE AS REQUIRED BY 49 CFR 1043 AND 1084.

None
None


No

1
IC Title Form No. Form Name
BODILY INJURY AND PROPERTY DAMAGE CERTIFICATE OF INSURANCE- MOTOR CARRIERS AND FREIGHT FORWARDERS BMC-91

  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 11,000 11,000 0 0 0 0
Annual Time Burden (Hours) 2,750 2,700 0 50 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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