Household Movers' Disclosure Requirements

Federal Register / Vol. 78, No. 58 / Tuesday, March 26, 2013 / Notices

18421

S.P No.

Applicant

Regulation(s)

Nature of special permit thereof

15758–N ..........

K&S Helicopters, Inc. Column
(9B), Kailua Kona, HI.

To authorize the transportation in commerce of certain hazardous materials by Part 133 Rotorcraft External. Load
Operations, attached to or suspended from an aircraft, in
remote areas of the US without meeting certain hazard
communication and stowage requirements. (mode 4)

15768–N ..........

E.I. DuPont de Nemours &
Company, Inc., Mt.
Clemens, MI.

49 CFR § 172.101,
§ 172.204(c)(3),
§ 173.27(b)(2),
§ 175.30(a)(1), §§ 172.200,
172.300, 172.400,
173.302(f)(3) and § 175.75.
49 CFR 172.302(a);
172.302(c); 172.326(a);
172.331(b); 172.504(a).

To authorize the transportation in commerce of bulk packagings and unmarked IBCs and DOT–57 portable tanks
containing residue of high flash point combustible liquid.
(mode 1)

EMERGENCY SPECIAL PERMIT GRANTED
12135–M ..........

Daicel Safety Systems, Inc.,
49 CFR 173.301(h); 173.302;
Hyogo Prefecture 671–1681.
173.306(d)(3).

15756–M ..........

United States Environmental
Protection Agency Region
II, Edison, NJ.

49 CFR Parts 171–180 ..........

15817–N ..........

CL Smith Company, Saint
Louis, MO.

49 CFR 173.13(a), 173.13(b),
173.13(c)(l)(ii),
173.13(c)(1)(iv), 173.13(d).

To modify the special permit to authorize a new design of
non-DOT specification cylinders (pressure vessels) for use
as components of automobile vehicle safety systems.
(modes 1, 2, 3, 4)
To authorize additional time for the transportation in commerce of certain hazardous materials in support of the recovery and relief efforts within the Hurricane Sandy disaster areas of New York and New Jersey under conditions
that may not meet the Hazardous Materials Regulations.
(mode 1)
Authorizes the manufacture, marking, and sale of specially
designed combination packaging, for shipment of small
quantities Division 6.1 solids in Packing Group II and III
shipped without labels. (modes 1, 2, 4, 5)

DENIED
15764–N ..........

Request by Matheson Tr-Gas Basking Ridge, NJ February 15, 2013. To authorize the transportation in commerce of certain
cylinders that have been ultrasonically retested for use in transporting Division 2.1, 2.2, and 2.3 materials.

[FR Doc. 2013–06698 Filed 3–25–13; 8:45 am]
BILLING CODE 4909–60–M

DEPARTMENT OF TRANSPORTATION
Surface Transportation Board
Information Collection Activities;
Household Movers’ Disclosure
Requirements
30-day notice and request for
comments.

ACTION:

As part of its continuing effort
to reduce paperwork burdens, and as
required by the Paperwork Reduction
Act of 1995, 44 U.S.C. 3501–3519 (PRA),
the Surface Transportation Board
(Board) gives notice that it is requesting
from the Office of Management and
Budget (OMB) approval of the
information collection—Household
Movers’ Disclosure Requirements—
further described below and detailed in
the appendices. The Board previously
published a notice about this collection
on August 10, 2012, at 77 Fed. Reg.
47918. That notice allowed for a 60-day
public review and comment period. No
comments were received.
Comments may now be submitted to
OMB concerning (1) whether this
collection of information is necessary

srobinson on DSK4SPTVN1PROD with NOTICES

SUMMARY:

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19:07 Mar 25, 2013

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for the proper performance of the
functions of the Board, including
whether the collection has practical
utility; (2) the accuracy of the Board’s
burden estimates; (3) ways to enhance
the quality, utility, and clarity of the
information collected; and (4) ways to
minimize the burden of the collection of
information on the respondents,
including the use of automated
collection techniques or other forms of
information technology, when
appropriate.
Written comments are due on
April 25, 2013.

DATES:

Written comments should
be directed to the Office of Management
and Budget, Office of Information and
Regulatory Affairs, Attention: Patrick
Fuchs, Surface Transportation Board
Desk Officer, by fax at (202) 395–5167;
by mail at OMB, Room 10235, 725 17th
Street NW., Washington, DC 20500; or
by email at
[email protected].
Comments should refer to ‘‘Household
Movers’ Disclosure Requirements.’’

ADDRESSES:

For
additional information, contact Marilyn
Levitt at (202) 245–0323 or
[email protected]. [Federal Information
Relay Service (FIRS) for the hearing
impaired: (800) 877–8339.]

FOR FURTHER INFORMATION CONTACT:

PO 00000

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In this notice the Board is
requesting comments on the following
information collection:
Title: Household Movers’ Disclosure
Requirements.
OMB Control Number: 2140–XXXX.
STB Form Number: None.
Type of Review: Existing collections
in use without an OMB control number.
Respondents: Household goods
movers that desire to offer a rate
limiting their liability on interstate
moves to anything less than
replacement value of the goods.
Number of Respondents: 4,500
(approximate number of motor carriers
and freight forwarders involved in
authorized for-hire household goods
carriage in the United States according
to the American Moving and Storage
Association.
Frequency: One time (Movers need
only modify the standard documents
that they already distribute.).
Total Burden Hours (annually
including all respondents): We estimate
that 15 of the approximately 4,500
household-goods movers are large firms
that print their own forms and that it
will take each of these large firms no
more than 24 hours to produce the
modified forms, resulting in a total startup burden of 360 hours (24 × 15).
Annualized over the three years covered
by OMB’s approval, this results in an
SUBJECTS:

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18422

Federal Register / Vol. 78, No. 58 / Tuesday, March 26, 2013 / Notices

annual burden of 120 hours. The
household-goods carrier already knows
its released rate. It is merely adding that
rate to a document that it already
distributes to the customer.
Total ‘‘Non-hour Burden’’ Cost: There
will be a startup cost to the remaining
approximately 4485 movers/freight
forwarders that are small companies
that will use the services of a
professional printer to replace their
existing stock of outdated forms
(estimated at 500 copies). This cost is
expected to be $460 per mover, based on
information supplied by the American
Moving & Storage Association.
Therefore, the total non-hour burden
cost is estimated at a one-time expense
of $2,063,100. Annualized over the
three years covered by OMB’s approval,
this results in an annual burden of
$687,700.
Needs and Uses: Moving companies
must inform consumers of their rights
and obtain a signed waiver if the
consumer elects anything other than
full-value protection. See Released
Rates of Motor Common Carriers of
Household Goods, RR 999 (Amendment
No. 5) (STB served March 9, 2012);
Appendices I–IV in this notice.
Previously, consumers were sometimes
confused and did not realize that they
had waived full value protection until
after they had experienced damage to or
loss of their goods. The information
collection that is the subject of this
notice is intended to correct this
problem by providing early notice
regarding the two liability options (fullvalue protection and the lower releasedrate protection), as well as adequate
time and information to help consumers
decide which option to choose.

srobinson on DSK4SPTVN1PROD with NOTICES

SUPPLEMENTARY INFORMATION:

Under the PRA, a Federal agency
conducting or sponsoring a collection of
information must display a currently
valid OMB control number. A collection
of information, which is defined in 44
U.S.C. 3502(3) and 5 CFR 1320.3(c),
includes agency requirements that
persons submit reports, keep records, or
provide information to the agency, third
parties, or the public. Section 3507(b) of
the PRA requires, concurrent with an
agency’s submitting a collection to OMB
for approval, a 30-day notice and
comment period through publication in
the Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information.

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Dated: March 21, 2013.
Jeffrey Herzig,
Clearance Clerk.

Appendix 1
NOTICE REQUIRED ON ESTIMATE FORM/
COMPUTER SCREEN
The following notice shall be placed in a
prominent place, in at least 12-point type, on
a moving company’s required written
estimate (if printed). If the estimate is
provided electronically, this statement must
be of a size that, when printed on 8 by 12
inch paper, equates to 12-point type.
WARNING: If a moving company loses or
damages your goods, there are 2 different
standards for the company’s liability based
on the types of rates you pay. BY FEDERAL
LAW, THIS FORM MUST CONTAIN A
FILLED-IN ESTIMATE OF THE COST OF A
MOVE FOR WHICH THE MOVING
COMPANY IS LIABLE FOR THE FULL
(REPLACEMENT) VALUE OF YOUR GOODS
in the event of loss of, or damage to, the
goods. This form may also contain an
estimate of the cost of a move in which the
moving company is liable for FAR LESS than
the replacement value of your goods,
typically at a lower cost to you. You will
select the liability level later, on the bill of
lading (contract) for your move. Before
selecting a liability level, please read ‘‘Your
Rights and Responsibilities When You
Move,’’ provided by the moving company,
and seek further information at the
government website
www.protectyourmove.gov.

Appendix 2
VALUTION STATEMENT REQUIRED ON
BILL OF LADING
The following notice shall be placed in a
prominent place, in at least 10-point type, on
a moving company’s required bill of lading
(if printed). If the bill of lading is provided
electronically, this statement must be of a
size that, when printed on 8 by 12 inch
paper, equates to 10-point type.
REQUIRED VALUATION CLAUSE AND
ESTIMATE OF COST OF SHIPMENT AT
FULL-VALUE PROTECTION
THE CONSUMER MUST SELECT ONE OF
THESE OPTIONS FOR THE CARRIER’S
LIABILITY FOR LOSS OR DAMAGE TO
YOUR HOUSEHOLD GOODS
CUSTOMER’S DECLARATION OF VALUE
THIS IS A STATEMENT OF THE LEVEL OF
CARRIER LIABILITY—IT IS NOT
INSURANCE
Option 1:
The Cost Estimate that you receive from
your mover MUST INCLUDE Full
(Replacement) Value Protection for the
articles that are included in your shipment.
If you wish to waive the Full (Replacement)
Value level of protection, you must complete
the WAIVER of Full (Replacement) Value
Protection shown below.
Full (Replacement) Value Protection is the
most comprehensive plan available for
protection of your goods. If any article is lost,
destroyed, or damaged while in your mover’s

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custody, your mover will, at its option,
either: 1) repair the article to the extent
necessary to restore it to the same condition
as when it was received by your mover, or
pay you for the cost of such repairs; or 2)
replace the article with an article of like kind
and quality, or pay you for the cost of such
a replacement. Under Full (Replacement)
Value Protection, if you do not declare a
higher replacement value on this form prior
to the time of shipment, the value of your
goods will be deemed to be equal to $6.00
multiplied by the weight (in pounds) of the
shipment, subject to a minimum valuation
for the shipment of $6,000. Under this
option, the cost of your move will be
composed of a base rate plus an added cost
reflecting the cost of providing this full value
cargo liability protection for your shipment.
If you wish to declare a higher value for
your shipment than these default amounts,
you must indicate that value here. Declaring
a higher value may increase the valuation
charge in your cost estimate.
The Total Value of my shipment is:
llll to be provided by customer)
Dollar Estimate of the cost of your move at
Full (Replacement) Value Protection:
llll (to be provided by carrier)
I acknowledge that for my shipment I have:
1) ACCEPTED the Full (Replacement) Level
of protection included in this estimate of
charges and declared a higher Total Value of
my shipment (if appropriate); and 2) received
a copy of the ‘‘Your Rights and
Responsibilities When You Move’’ brochure
explaining these provisions.
X llllllllllllllllllll
Customer’s signature
lllllllllllllllllllll
Date
————————OR————————
Option 2:
WAIVER of Full (Replacement) Value
Protection. This lower level of protection is
provided at no additional cost beyond the
base rate; however, it provides only minimal
protection that is considerably less than the
average value of household goods. Under this
option, a claim for any article that may be
lost, destroyed, or damaged while in your
mover’s custody will be settled based on the
weight of the individual article multiplied by
60 cents. For example, the settlement for an
audio component valued at $1,000 that
weighs 10 pounds would be $6.00 (10
pounds times 60 cents).
Dollar Estimate of the cost of your move
under the 60-cents option: llll.
COMPLETE THIS PART ONLY if you wish
to WAIVE The Full (Replacement) Level of
Protection included in the higher cost
estimate provided [above] [on the prior page]
for your shipment and instead select the
LOWER Released Value of 60-cents-perpound Per Article; to do so you must initial
and sign on the lines below.
I wish to Release My Shipment to a
Maximum Value of 60-cents-per-pound per
Article.
lllllllllllllllllllll
(Initials)
I acknowledge that for my shipment I have:
1) WAIVED the Full (Replacement) Level of
protection, for which I have received an

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Federal Register / Vol. 78, No. 58 / Tuesday, March 26, 2013 / Notices
estimate of charges, and 2) received a copy
of the ‘‘Your Rights and Responsibilities
When You Move’’ brochure explaining these
provisions.
lllllllllllllllllllll
X llllllllllllllllllll
Customer’s signature
lllllllllllllllllllll
Date

Appendix 3
(Optional language that carriers may choose
to include in the Required Valuation Clause
printed in Appendix 2)
Deductibles
You may also select one of the following
deductible amounts under the Full
(Replacement) Value level of liability that

Amount of deductible and (estimate of total cost of move)

And so on.

Surface Transportation Board

srobinson on DSK4SPTVN1PROD with NOTICES

Appendix 4
The following notice shall be placed on the
bill of lading for household goods shipments
involving a motor carrier segment and an
ocean segment.
The provisions of the Carriage of Goods by
the Sea Act and/or of 49 U.S.C. 14706(f)(2)
(a provision in the Interstate Commerce Act)
permit us to offer ‘‘released’’ rates (reduced
rates under which you will not be fully
reimbursed if your shipment is lost,
damaged, or destroyed), but they also require
that we offer rates that will better protect a
consumer in the event of loss or damage to
a shipment. Under the rates offered here,
your reimbursement in the event of loss will
be limited to lllll
We also offer higher levels of protection (at
higher rates). Signing this document below
indicates that you agree to pay and be bound
by the terms of the released, limited-recovery
rates.
lllllllllllllllllllll
(Customer’s signature)
lllllllllllllllllllll
(Date)
[FR Doc. 2013–06881 Filed 3–25–13; 8:45 am]
BILLING CODE 4915–01–P

VerDate Mar<15>2010

Customer to write initials beside selected deductible

DEPARTMENT OF TRANSPORTATION

I acknowledge that I have prepared and
retained a copy of the ‘‘Inventory of Items
Valued in Excess of $100 Per Pound per
Article’’ that are included in my shipment
and that I have given a copy of this inventory
to the mover’s representative. I also
acknowledge that the mover’s liability for
loss of or damage to any article valued in
excess of $100 per pound will be limited to
$100 per pound for each pound of such lost
or damaged article(s) (based on actual article
weight), not to exceed the declared value of
the entire shipment, unless I have
specifically identified such articles for which
a claim for loss or damage may be made, on
the attached inventory.
X llllllllllllllllllll
(Customer’s signature)
lllllllllllllllllllll
(Date)

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Jkt 229001

Release of Waybill Data
The Surface Transportation Board has
received a request from GATX
Corporation (WB512–17—3/04/2013),
for permission to use certain data from
the Board’s 2011 Carload Waybill
Samples. A copy of this request may be
obtained from the Office of Economics.
The waybill sample contains
confidential railroad and shipper data;
therefore, if any parties object to these
requests, they should file their
objections with the Director of the
Board’s Office of Economics within 14
calendar days of the date of this notice.
The rules for release of waybill data are
codified at 49 CFR 1244.9.
Contact: Megan Conley (202) 245–
0348.
Jeffrey Herzig,
Clearance Clerk.
[FR Doc. 2013–06848 Filed 3–25–13; 8:45 am]
BILLING CODE 4915–01–P

DEPARTMENT OF THE TREASURY
Submission for OMB Review;
Comment Request
March 21, 2013.

The Department of the Treasury will
submit the following information
collection requests to the Office of
Management and Budget (OMB) for
review and clearance in accordance
with the Paperwork Reduction Act of
1995, Public Law 104–13, on or after the
date of publication of this notice.
DATES: Comments should be received on
or before April 25, 2013 to be assured
of consideration.
ADDRESSES: Send comments regarding
the burden estimate, or any other aspect
of the information collection, including
suggestion for reducing the burden, to

PO 00000

will apply for your shipment. (If you do not
make a selection, the ‘‘No Deductible’’ level
of full value protection that is included in
your cost estimate will apply):
[List here all deductibles offered, with a
space to fill in the estimate of cost of a full
value move at that deductible filled in]

llll (Customer writes in initials to Select a deductible)
llll
llll
llll

$0 Deductible (llll)
$XXX Deductible (llll)
$XXX Deductible (llll)
$XXX Deductible (llll)

Declaration of Article(s) of Extraordinary
(Unusual) Value

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(1) Office of Information and Regulatory
Affairs, Office of Management and
Budget, Attention: Desk Officer for
Treasury, New Executive Office
Building, Room 10235, Washington, DC
20503, or email at
[email protected] and
(2) Treasury PRA Clearance Officer,
1750 Pennsylvania Ave. NW., Suite
8140, Washington, DC 20220, or email
at [email protected].
FOR FURTHER INFORMATION CONTACT:
Copies of the submission(s) may be
obtained by calling (202) 927–5331,
email at [email protected], or the entire
information collection request maybe
found at www.reginfo.gov.
Internal Revenue Service (IRS)
OMB Number: 1545–0052.
Type of Review: Revision of a
currently approved collection.
Title: Form 990–PF, Return of Private
Foundation or Section 4947(a)(1)
Nonexempt Charitable Trust Treated as
a Private Foundation, and Form 4720,
Return of Certain Excise Taxes on
Charities and Other.
Form: 990–PF, 4720.
Abstract: IRC section 6033 requires all
private foundations, including section
4947(a)(1) trusts treated as private
foundations, to file an annual
information return. Section 53.4940–
1(a) of the Income Tax Regulations
requires that the tax on net investment
income be reported on the return filed
under section 6033. Form 990–PF is
used for this purpose. Section 6011
requires a report of taxes under Chapter
42 of the Code for prohibited acts by
private foundation and certain related
parties. Form 4720 is used by
foundations and/or related persons to
report prohibited activities in detail and
pay the tax on them.
Affected Public: Private Sector: Notfor-profit institutions.
Estimated Total Burden Hours:
11,054,637.
OMB Number: 1545–0196.

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