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 Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 Form Modified Available
Form BMC-35 Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906 Form Modified Available
Form BMC-85 Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement Form Modified Available
Form BMC-84 Property Broker's Surety Bond Under 49 U.S.C. 13906 Form Modified Available
Form BMC-83 Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906 Form Modified Repair queued
Form BMC-82 Motor Carrier Bobily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906 Form Modified Available
Form BMC-34 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

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





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table that charts list of burden
IC Title Form No. Form Name
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 Cargo Liability Certificate of Insurance BMC-34 Household Goods Motor Carrier Cargo Liability Certificate of Insurance
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
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
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
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
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
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
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 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

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
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