Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance

Financial Responsibility, Trucking and Freight Forwarding

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0017 can be found here:

Documents and Forms

Document Name Document Type
Form BMC-91X Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form
BMC-91X Motor Carrier Automobile Bodily Injury and Property Dama BMC-91X.021009.DOC Form

Information Collection (IC) Details

IC Title:	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 387

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BMC-91X	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	BMC-91X.021009.DOC		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 143,915	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	208,210	36,680	171,530
Annual IC Time Burden (Hours)	34,702	6,114	28,588
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.