Form M Form M Annual Report of Class I and II Motor Carriers of Proper

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

FormM FMCSA 061609.OMB1

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

OMB: 2126-0032

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BURDEN STATEMENT
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork
Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2126-0032. Public reporting for this collection of information is
estimated to be approximately 9 hours per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All responses to this collection of
information are mandatory. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal
Motor Carrier Safety Administration, MC-RRA, 1200 New Jersey Avenue, SE, Washington, D.C. 20590.

OMB Control No.: 2126-0032
Expiration Date.:

202-493-0292
OMB Control No.: 2126-0032


File Typeapplication/pdf
File Modified2009-06-18
File Created2004-10-05

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