Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance

Financial Responsibility, Trucking and Freight Forwarding

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0017 can be found here:

Documents and Forms

Document Name Document Type
Form BMC-91X Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form
BMC-91X Motor Carrier Automobile Bodily Injury and Property Dama BMC-91X 6-16-2015 508.Use.pdf Form

Information Collection (IC) Details

IC Title:	Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 387

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BMC-91X	Motor Carrier Automobile Bodily Injury and Property Damage LIability Certificate of Insurance	BMC-91X 6-16-2015 508.Use.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 122,450	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	205,940	205,940
Annual IC Time Burden (Hours)	34,324	34,324
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.