Application for Authority to Self-Insure Under 49 U.S.C. 13906

Financial Responsibility, Trucking and Freight Forwarding

OMB: 2126-0017

IC ID: 188066

Information Collection (IC) Details

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Application for Authority to Self-Insure Under 49 U.S.C. 13906
 
No Unchanged
 
Mandatory
 
49 CFR 387

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction BMC-40 Application for Authority to Self-Insure Under 49 U.S.C. 13906 BMC-40.021009.DOC Yes No Fillable Printable

Transportation Ground Transportation

 

5 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5 0 0 0 0 5
Annual IC Time Burden (Hours) 200 0 0 0 0 200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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