ANNUAL PERFORMANCE REPORT, HOUSEHOLD GOODS

ICR 199604-2125-001

OMB: 2125-0566

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
141973 Migrated
ICR Details
2125-0566 199604-2125-001
Historical Active 199403-3120-001
DOT/FHWA
ANNUAL PERFORMANCE REPORT, HOUSEHOLD GOODS
Revision of a currently approved collection   No
Regular
Approved without change 04/29/1996
Retrieve Notice of Action (NOA) 04/29/1996
  Inventory as of this Action Requested Previously Approved
12/31/1996 12/31/1996
3,000 0 0
5,375 0 0
0 0 0

THE ANNUAL PERFORMANCE REPORT WILL BE USED BY PROSPECTIVE SHIPPERS TO MAKE A SELECTION OF INTERSTATE HOUSEHOLD GOODS CARRIER (MOVER) BASED ON PAST SERVICE RECORDS. THE COMMISSION'S OFFICE OF COMPLIANCE AND CONSUMER ASSISTANCE WILL MONITOR THE REPORTS TO ASSURE ACCURACY AND CARRIER COMPLIANCE.

None
None


No

1
IC Title Form No. Form Name
ANNUAL PERFORMANCE REPORT, HOUSEHOLD GOODS OCP-101

  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 3,000 0 0 3,000 0 0
Annual Time Burden (Hours) 5,375 0 0 5,375 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.
04/29/1996


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