Information Collection

Endorsement For Motor Carrier Freight Forwarder Bodily Injury And Property Damage Policies Of Insurance

IC 154267 under ICR 198401-3120-009 · OMB 3120-0086.

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Document Name	Document Type

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IC Title:

ENDORSEMENT FOR MOTOR CARRIER FREIGHT FORWARDER BODILY INJURY AND PROPERTY DAMAGE POLICIES OF INSURANCE

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BMC-90				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,000	9,500	1,500
Annual IC Time Burden (Hours)	2,750	2,375	375
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.