Information Collection Request

Financial Responsibility, Trucking and Freight Forwarding

ICR 201809-2126-002 · 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 Unchanged Available
Form BMC-32 Endorsement for Household Goods Motor Carrier Policies of Insurance for Cargo Liability Under 49 U.S.C. 13906 Form and Instruction New Available
Form BMC-40 Application for Authority to Self-Insure Under 49 U.S.C. 13906 Form and Instruction Unchanged Available
Form BMC-36 Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 Notice of Cancellation Form Unchanged Available
Form BMC-35 Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906 Form Unchanged 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 Unchanged Available
Form BMC-84 Broker's or Freight Forwarder's Surety Bond Under 49 U.S.C. 13906 Form Unchanged Available
Form BMC-83 Household Goods Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906 Form Unchanged Available
Form BMC-82 Motor Carrier Bodily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906 Form Unchanged Available
Form BMC-34 Household Goods Motor Carrier Cargo Liability Certificate of Insurance Form Unchanged Available
Form BMC-91X Motor Carrier Automobile Bodily Injury and Property Damage LIability Certificate of Insurance Form Unchanged Available
PRA-2126-0017.SS.INCLUDE.BMC32 Final.docx Supporting Statement A Uploaded 2018-12-03 Available
Attachment H - 30-day FR.pdf Supplementary Document Uploaded 2018-09-20 Available
Attachment G - 60-day FR.pdf Supplementary Document Uploaded 2018-09-20 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 UnchangedMotor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance
233093 Endorsement of Household Goods Motor Carrier Policies of Insurance for Cargo Liability Under 49 USC13906 Form and Instruction NewEndorsement for Household Goods Motor Carrier Policies of Insurance for Cargo Liability Under 49 U.S.C. 13906
188066 Application for Authority to Self-Insure Under 49 U.S.C. 13906 Form and Instruction UnchangedApplication 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 UnchangedMotor 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 UnchangedNotice 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 UnchangedBroker'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 UnchangedBroker'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 UnchangedHousehold 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 UnchangedMotor 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 UnchangedHousehold Goods Motor Carrier Cargo Liability Certificate of Insurance
188044 Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form UnchangedMotor 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
02/28/2022 36 Months From Approved 05/31/2020
374,412 0 369,639
62,483 0 61,687
4,773 0 0





Reginfo record details
11
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
Endorsement of Household Goods Motor Carrier Policies of Insurance for Cargo Liability Under 49 USC13906 BMC-32
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 374,412 369,639 0 0 0 4,773
Annual Time Burden (Hours) 62,483 61,687 0 0 0 796
Annual Cost Burden (Dollars) 4,773 0 0 0 0 4,773


Reginfo record details
  No