Annual Report of Class I and Class II Motor Carriers of Property (OMB 2139-0004)

Forms and Documents

Document Name	Status
Form Form M Annual Report of Class I and Class II Motor Carriers of Property (OMB 2139-0004) Form and Instruction	Modified
PRA-2126-0032.60dayFR.Comment1.042012.Reply.pdf Supplementary Document	2012-09-14
PRA-2126-0032.SS.Revision.071812.AS.Use[1].doc Supporting Statement A	2012-09-14
PRA-2126-0032.30dayFR.PUB.082812.pdf Supplementary Document	2012-09-13
PRA-2126-0032&0033.60dayFR.Published.042012.pdf Supplementary Document	2012-09-13
49 CFR 369.Report of Motor Carriers.doc Supplementary Document	2009-06-17
Motor Carrier Transportation, Redesignation From RITA(71 FR 45740)Aug102006.pdf Supplementary Document	2009-06-17
Secretarial Delegation BTS-FMCSA.(69 FR 51009).Aug17,2004.pdf Supplementary Document	2009-06-17
49 CFR 1420.1.doc Supplementary Document	2009-06-17
Reports of Motor Carriers; Redesignation of Regulations F&OS Program.Sep30,1988(63FR52192).pdf Supplementary Document	2009-06-17
49 U.S.C.14123.Financial Reporting.doc Supplementary Document	2009-06-17
Pub.Law 104-88(ICCTA) (Dec291995.pdf Supplementary Document	2009-06-17

IC Document Collections

IC ID	Document Title	Status
26107	Annual Report of Class I and Class II Motor Carriers of Property (OMB 2139-0004) Form and Instruction	Modified

ICR Details

OMB Control No: 2126-0032	ICR Reference No: 201209-2126-001
Status: Historical Active	Previous ICR Reference No: 200906-2126-003
Agency/Subagency: DOT/FMCSA	Agency Tracking No:
Title: Annual Report of Class I and Class II Motor Carriers of Property (OMB 2139-0004)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/16/2013
	Date Received in OIRA: 09/28/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved	01/31/2013
Responses	197	0	372
Time Burden (Hours)	1,773	0	3,348
Cost Burden (Dollars)	197	0	0

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Abstract: This report provides financial and operating data. The Federal government uses this information to assess the health of the industry and identify changes that may affect national transportation policy.

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Authorizing Statute(s): US Code: 49 USC 14123 Name of Law: Financial reporting
   PL: Pub.L. 104 - 88 109 Stat. 803, 852 Name of Law: ICC Termination Act of 1995
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 23792	04/20/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 52109	08/28/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Annual Report of Class I and Class II Motor Carriers of Property (OMB 2139-0004)	Form M	Annual Report of Class I and II Motor Carriers of Property

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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	197	372	0	0	-175	0
Annual Time Burden (Hours)	1,773	3,348	0	0	-1,575	0
Annual Cost Burden (Dollars)	197	0	0	0	197	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: The program adjustment decrease of -1,435 estimated annual burden hours [3,348 currently approved hours - 1,773 proposed hours = 1,435]is due to a decrease in the number of respondents from 372 to 197. In addition, The estimated annual cost for mailing the Form M decreased from $372 to $197.

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Annual Cost to Federal Government: $2,089

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: 09/28/2012

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