Information Collection Request

Financial Responsibility, Trucking and Freight Forwarding

ICR 201703-2126-002 · OMB 2126-0017 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form BMC-91 Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form Modified Available
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 Available
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 Repair queued
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 Repair queued
Form BMC-91X Motor Carrier Automobile Bodily Injury and Property Damage LIability Certificate of Insurance Form Modified Available
PRA-2126-0017.SS.30day Reinstatement 03.31.17.docx Supporting Statement A Uploaded 2017-03-31 Available
PRA 2126-0017 30-day Reinstatement FR.pdf Supplementary Document Uploaded 2017-03-24 Available
Attachment I - PRA-2126-0017 60-day FR Notice 12_30_2016.pdf Supplementary Document Uploaded 2017-03-23 Available
Attachment G - Section 32918 MAP 21.pdf Supplementary Document Uploaded 2017-03-23 Available
Attachment F - 49 CFR Part 387.pdf Supplementary Document Uploaded 2017-03-23 Available
Attachment E - 49 U.S.C. 13906.pdf Supplementary Document Uploaded 2017-03-23 Available
Attachment C - 49 U.S.C. 13904.pdf Supplementary Document Uploaded 2017-03-23 Available
Attachment B - 49 U.S.C. 13903.pdf Supplementary Document Uploaded 2017-03-23 Available
Attachment A - 49 U.S.C. 13902.pdf Supplementary Document Uploaded 2017-03-23 Available
Attachment D - 49 U.S.C. 13901.pdf Supplementary Document Uploaded 2017-03-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
26082 Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form ModifiedMotor 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 ModifiedApplication 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 ModifiedMotor 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 ModifiedNotice 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 ModifiedBroker'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 ModifiedBroker'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 ModifiedHousehold 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 ModifiedMotor 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 ModifiedHousehold Goods Motor Carrier Cargo Liability Certificate of Insurance
188044 Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form ModifiedMotor Carrier Automobile Bodily Injury and Property Damage LIability Certificate of Insurance

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2020 36 Months From Approved
369,639 0 0
61,687 0 0
0 0 0





Reginfo record details
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
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 BMC-91X
Motor Carrier Bobily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906 BMC-82
Motor Carrier Cargo Liability Certificate of Insurance BMC-34
Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906 BMC-83
Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906 BMC-35
Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 BMC-36
Property Broker's Surety Bond Under 49 U.S.C. 13906 BMC-84
Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement BMC-85

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 369,639 0 0 5,136 3,190 361,313
Annual Time Burden (Hours) 61,687 0 0 856 413 60,418
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No