Information Collection

Proof of Financial Responsibility

IC 180137 under ICR 201909-3072-001 · OMB 3072-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3072-0018 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FMC-48 Ocean Transportation Intermediary (OTI) Bond Proof of Financial Responsibility	Form
Form FMC-67 Ocean Transportation Intermediary Insurance Form Furnished as Evidence of Financial Responsibility Under 46 U.S.C. app. 1718 Proof of Financial Responsibility	Form
Form FMC-68 Guaranty in Respect of Ocean Transportation Intermediary Liability for Damages, Reparations or Penalties Arising from Transportation-Related Activities Under the Shipping Act of 1984, as amended. . . Proof of Financial Responsibility	Form
Form FMC-69 Ocean Transportation Intermediary Group Supplemental Coverage Bond Form Proof of Financial Responsibility	Form
FMC-48 Ocean Transportation Intermediary (OTI) Bond Form_48_OTI_Bond_Form.pdf www.fmc.gov/images/pages/Form_48_OTI_Bond_Form.pdf	Form
FMC-67 Ocean Transportation Intermediary Insurance Form Furnish Form FMC67.doc	Form
FMC-68 Guaranty in Respect of Ocean Transportation Intermediary Form FMC68.doc	Form
FMC-69 Ocean Transportation Intermediary Group Supplemental Cov Form_69_-_Ocean_Transportation_Intermediary_(OTI)_Group_Bond.pdf www.fmc.gov/images/pages/Form_69_-_Ocean_Transportation_Intermediary_(OTI)_Group_Bond.pdf	Form

IC Title:

Proof of Financial Responsibility

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 515.22

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FMC-48	http://www.fmc.gov/images/pages/Form_48_OTI_Bond_Form.pdf	Yes	No	Printable Only
Form	FMC-67		No		Paper Only
Form	FMC-68		No		Paper Only
Form	FMC-69	http://www.fmc.gov/images/pages/Form_69_-_Ocean_Transportation_Intermediary_(OTI)_Group_Bond.pdf	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,614

Number of Respondents for Small Entity: 5,614

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,614	-1,440	7,054
Annual IC Time Burden (Hours)	1,871	-480	2,351
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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