Financial Responsibility, Trucking and Freight Forwarding

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BMC-91 Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	Form	Modified	Repair queued
Form BMC-40 Application for Authority to Self-Insure Under 49 U.S.C. 13906	Form and Instruction	Modified	Available
Form BMC-36 Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 Notice of Cancellation	Form	Modified	Available
Form BMC-35 Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906	Form	Modified	Repair queued
Form BMC-85 Broker's or Freight Forwarder's Trust Fund Agreement under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement	Form	Modified	Available
Form BMC-84 Broker's or Freight Forwarder's Surety Bond Under 49 U.S.C. 13906	Form	Modified	Available
Form BMC-83 Household Goods Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906	Form	Modified	Available
Form BMC-82 Motor Carrier Bodily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906	Form	Modified	Available
Form BMC-34 Household Goods Motor Carrier Cargo Liability Certificate of Insurance	Form	Modified	Available
Form BMC-91X Motor Carrier Automobile Bodily Injury and Property Damage LIability Certificate of Insurance	Form	Modified	Available
PRA-2126-0017 Justification NonSubstantive Chg ew-05-22-2015.Use.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-06-19	Available
PRA-2126-0017.SS.URS1.FR.02-18-14.Use.docx	Supporting Statement A	Uploaded 2014-02-18	Available
Section 32918, Public Law 112-141.July 6, 2012 (MAP-21).pdf	Supplementary Document	Uploaded 2013-10-28	Available
49 U.S.C.31139.doc	Supplementary Document	Uploaded 2013-10-25	Available
49 U.S.C. 31138.doc	Supplementary Document	Uploaded 2013-10-25	Available
URS.SNPRM.76FR66506.102611.pdf	Supplementary Document	Uploaded 2013-10-25	Available
PRA-2126-0017 Justification for NonSubChange.MAP-21.gds.070813.Use.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2013-07-17	Available
PRA-2126-0017.NonSubChangeJustification.BMC 84 and 85.gds.Use.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2011-12-01	Available
Section 4303 of the SAFETEA-LU(Public Law 109-59) 081005.doc	Supplementary Document	Uploaded 2010-06-22	Available
49 CFR 387.doc	Supplementary Document	Uploaded 2009-02-13	Available
49 U.S.C. 13906.doc	Supplementary Document	Uploaded 2009-02-13	Available
49 U.S.C. 13904.doc	Supplementary Document	Uploaded 2009-02-13	Repair queued
49 U.S.C. 13903.doc	Supplementary Document	Uploaded 2009-02-13	Available
49 U.S.C. 13902.doc	Supplementary Document	Uploaded 2009-02-13	Available
49 U.S.C. 13901.doc	Supplementary Document	Uploaded 2009-02-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
26082	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	Form	Modified	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance
188066	Application for Authority to Self-Insure Under 49 U.S.C. 13906	Form and Instruction	Modified	Application for Authority to Self-Insure Under 49 U.S.C. 13906
188065	Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906	Form	Modified	Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 Notice of Cancellation
188064	Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906	Form	Modified	Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906
188063	Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement	Form	Modified	Broker's or Freight Forwarder's Trust Fund Agreement under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement
188049	Property Broker's Surety Bond Under 49 U.S.C. 13906	Form	Modified	Broker's or Freight Forwarder's Surety Bond Under 49 U.S.C. 13906
188047	Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906	Form	Modified	Household Goods Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906
188046	Motor Carrier Bobily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906	Form	Modified	Motor Carrier Bodily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906
188045	Motor Carrier Cargo Liability Certificate of Insurance	Form	Modified	Household Goods Motor Carrier Cargo Liability Certificate of Insurance
188044	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	Form	Modified	Motor Carrier Automobile Bodily Injury and Property Damage LIability Certificate of Insurance

ICR Details

OMB Control No: 2126-0017	ICR Reference No: 201506-2126-006
Status: Historical Active	Previous ICR Reference No: 201310-2126-002
Agency/Subagency: DOT/FMCSA	Agency Tracking No:
Title: Financial Responsibility, Trucking and Freight Forwarding
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/05/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/01/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	02/28/2017	02/28/2017
Responses	361,313	0	361,313
Time Burden (Hours)	60,418	0	60,418
Cost Burden (Dollars)	0	0	0

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Abstract: 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. This revision is due to a Final Rule entitled, " Unified Registration System," that would add the requirement for exempt for-hire motor carriers and private interstate motor carriers of hazardous materials (private interstate hazmat carriers)to file proof of liability insurance with FMCSA.

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Authorizing Statute(s): US Code: 49 USC 13902 Name of Law: Registration of motor carriers
   US Code: 49 USC 13901 Name of Law: Requirement for registration
   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
  

Citations for New Statutory Requirements: PL: Pub.L. 112 - 141 32918 Name of Law: Moving Ahead for Progress in the 21st Century Act (MAP-21)

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2126-AA22	Final or interim final rulemaking	78 FR 52608	08/23/2013

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	70 FR 28990	05/19/2005
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 52608	08/23/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
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
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 Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	BMC-91	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance
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 Liability Surety Bond Under 49 U.S.C. 13906
Motor Carrier Cargo Liability Certificate of Insurance	BMC-34	Household Goods Motor Carrier Cargo 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 49 U.S.C. 13906
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
Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906	BMC-36	Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 Notice of Cancellation
Property Broker's Surety Bond Under 49 U.S.C. 13906	BMC-84	Broker's or Freight Forwarder's Surety Bond Under 49 U.S.C. 13906
Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement	BMC-85	Broker's or Freight Forwarder's Trust Fund Agreement under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement

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ICR Summary of Burden

table that charts list 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	361,313	361,313	0	0	0	0
Annual Time Burden (Hours)	60,418	60,418	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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:

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Annual Cost to Federal Government: $17,696

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: 07/01/2015

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