Financial Responsibility, Trucking and Freight Forwarding

ICR 201112-2126-001

OMB: 2126-0017

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Form and Instruction
Unchanged
Form
Unchanged
Form
Unchanged
Form
Modified
Form
Modified
Form
Unchanged
Form
Unchanged
Form
Unchanged
Form
Unchanged
Justification for No Material/Nonsubstantive Change
2011-12-01
Supporting Statement A
2010-06-23
Supplementary Document
2010-06-22
Supplementary Document
2009-02-13
Supplementary Document
2009-02-13
Supplementary Document
2009-02-13
Supplementary Document
2009-02-13
Supplementary Document
2009-02-13
Supplementary Document
2009-02-13
ICR Details
2126-0017 201112-2126-001
Historical Active 201006-2126-001
DOT/FMCSA
Financial Responsibility, Trucking and Freight Forwarding
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/30/2012
Retrieve Notice of Action (NOA) 12/02/2011
  Inventory as of this Action Requested Previously Approved
01/31/2014 01/31/2014 01/31/2014
323,753 0 323,753
54,158 0 54,158
0 0 0

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.

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
  
None

2126-AB21 Final or interim final rulemaking 75 FR 35318 06/22/2010

No

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

  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
No
No

$16,761
No
No
No
No
No
Uncollected
Gerald Folsom 202 385-2405 [email protected]

  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.
12/02/2011


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