Financial Responsibility, Trucking and Freight Forwarding

Forms and Documents

Document Name	Status
Form BMC-91 Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form	Unchanged
Form BMC-40 Application for Authority to Self-Insure Under 49 U.S.C. 13906 Form and Instruction	Unchanged
Form BMC-36 Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 Form	Unchanged
Form BMC-35 Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906 Form	Unchanged
Form BMC-85 Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement Form	Modified
Form BMC-84 Property Broker's Surety Bond Under 49 U.S.C. 13906 Form	Modified
Form BMC-83 Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906 Form	Unchanged
Form BMC-82 Motor Carrier Bobily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906 Form	Unchanged
Form BMC-34 Motor Carrier Cargo Liability Certificate of Insurance Form	Unchanged
Form BMC-91X Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form	Unchanged
PRA-2126-0017.NonSubChangeJustification.BMC 84 and 85.gds.Use.doc Justification for No Material/Nonsubstantive Change	2011-12-01
PRA-2126-0017.SS.CargoFinalRule_062210.Use[1].doc Supporting Statement A	2010-06-23
Section 4303 of the SAFETEA-LU(Public Law 109-59) 081005.doc Supplementary Document	2010-06-22
49 CFR 387.doc Supplementary Document	2009-02-13
49 U.S.C. 13906.doc Supplementary Document	2009-02-13
49 U.S.C. 13904.doc Supplementary Document	2009-02-13
49 U.S.C. 13903.doc Supplementary Document	2009-02-13
49 U.S.C. 13902.doc Supplementary Document	2009-02-13
49 U.S.C. 13901.doc Supplementary Document	2009-02-13

IC Document Collections

IC ID	Document Title	Status
26082	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form	Unchanged
188066	Application for Authority to Self-Insure Under 49 U.S.C. 13906 Form and Instruction	Unchanged
188065	Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 Form	Unchanged
188064	Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906 Form	Unchanged
188063	Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement Form	Modified
188049	Property Broker's Surety Bond Under 49 U.S.C. 13906 Form	Modified
188047	Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906 Form	Unchanged
188046	Motor Carrier Bobily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906 Form	Unchanged
188045	Motor Carrier Cargo Liability Certificate of Insurance Form	Unchanged
188044	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form	Unchanged

ICR Details

OMB Control No: 2126-0017	ICR Reference No: 201112-2126-001
Status: Historical Active	Previous ICR Reference No: 201006-2126-001
Agency/Subagency: DOT/FMCSA	Agency Tracking No:
Title: Financial Responsibility, Trucking and Freight Forwarding
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/30/2012
	Date Received in OIRA: 12/02/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	01/31/2014	01/31/2014
Responses	323,753	0	323,753
Time Burden (Hours)	54,158	0	54,158
Cost Burden (Dollars)	0	0	0

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Abstract: The forms above are used by for-hire motor carriers, freight forwarders and brokers to meet the statutory requirement to submit evidence of financial responsibility prior to their registration by the FMCSA as condition for continuation of their registration.

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Authorizing Statute(s): US Code: 49 USC 13901 Name of Law: Requirement for registration
   US Code: 49 USC 13902 Name of Law: Registration of motor carriers
   US Code: 49 USC 13903 Name of Law: Registration of freight forwarders
   US Code: 49 USC 13904 Name of Law: Registration of brokers
   US Code: 49 USC 13906 Name of Law: Security of motor carriers, motor private carriers, brokers, and freight forwarders
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2126-AB21	Final or interim final rulemaking	75 FR 35318	06/22/2010

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

IC Title	Form No.	Form Name
Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	BMC-91X	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance
Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906	BMC-83	Household Goods Motor Carrier Cargo Liability Surety Bond Under U.S.C. 13906
Motor Carrier Cargo Liability Certificate of Insurance	BMC-34	Household Goods Motor Carrier Cargo Liability Certificate of Insurance
Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	BMC-91	Motor Carrier Automobile Bodily Injury and Property Damage Liaibility Certificate of Insurance
Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement	BMC-85	Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement
Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906	BMC-35	Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906
Motor Carrier Bobily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906	BMC-82	Motor Carrier Bodily Injury Liability and Property Damage Surety Bond Under 49 U.S.C. 13906
Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906	BMC-36	Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906
Application for Authority to Self-Insure Under 49 U.S.C. 13906	BMC-40	Application for Authority to Self-Insure Under 49 U.S.C. 13906
Property Broker's Surety Bond Under 49 U.S.C. 13906	BMC-84	Property Broker's Surety Bond Under 49 U.S.C. 13906

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ICR Summary of Burden

	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	323,753	323,753	0	0	0	0
Annual Time Burden (Hours)	54,158	54,158	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $16,761

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/02/2011

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