Information Collection Request

Financial Responsibility, Trucking and Freight Forwarding

ICR 202112-2126-002 · OMB 2126-0017 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form BMC-91 IC-1: Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form Modified Repair queued
Form BMC-32 IC-11: Endorsement of Household Goods Motor Carrier Policies of Insurance for Cargo Liability Under 49 USC13906 Form and Instruction Modified Repair queued
Form BMC-40 IC-10: Application for Authority to Self-Insure Under 49 U.S.C. 13906 Form and Instruction Modified Repair queued
Form BMC-36 IC-9: Notice of Cancellation Motor Carrier and Broker's Surety Bonds Under 49 U.S.C. 13906 Form Modified Repair queued
Form BMC-35 IC-8: Notice of Cancellation Motor Carrier Insurance Under 49 U.S.C. 13906 Form Modified Missing upstream
Form BMC-85 IC-7: Property Broker's Trust Fund Agreement Under 49 U.S.C. 13906 or Notice of Cancellation of the Agreement Form Modified Repair queued
Form BMC-84 IC-6: Property Broker's Surety Bond Under 49 U.S.C. 13906 Form Modified Missing upstream
Form BMC-83 IC-5: Motor Carrier Cargo Liability Surety Bond Under 49 U.S.C. 13906 Form Modified Repair queued
Form BMC-82 IC-4: Motor Carrier Bodily Injury Liability and Property Damage Liability Surety Bond Under 49 U.S.C. 13906 Form Modified Repair queued
Form BMC-34 IC-3: Motor Carrier Cargo Liability Certificate of Insurance Form Modified Missing upstream
Form BMC-91X IC-2: Motor Carrier Automobile Bodily Injury and Property Damage Liability Certificate of Insurance Form Modified Repair queued
2126-0017 30-day FR.pdf Supplementary Document Uploaded 2022-02-23 Missing upstream
PRA 2126-0017 SS Financial Responsibility 30 day.docx Supporting Statement A Uploaded 2022-02-23 Repair queued
Attachment I - 49 CFR 387.309.pdf Supplementary Document Uploaded 2022-01-11 Repair queued
Attachment H - BILLS-112hr4348enr.pdf Supplementary Document Uploaded 2022-02-17 Repair queued
Attachment E (49 CFR 1.87).pdf Supplementary Document Uploaded 2022-01-11 Missing upstream
60-day FR for 2126-0017.pdf Supplementary Document Uploaded 2021-12-30 Repair queued
Attachment G - 49 CFR Part 387.pdf Supplementary Document Uploaded 2022-01-11 Repair queued
Attachment F - 49 U.S.C. 13906.pdf Supplementary Document Uploaded 2022-01-11 Repair queued
Attachment C - 49 U.S.C. 13904.pdf Supplementary Document Uploaded 2017-03-23 Missing upstream
Attachment B - 49 U.S.C. 13903.pdf Supplementary Document Uploaded 2017-03-23 Repair queued
Attachment A - 49 U.S.C. 13902.pdf Supplementary Document Uploaded 2017-03-23 Repair queued
Attachment D - 49 U.S.C. 13901.pdf Supplementary Document Uploaded 2017-03-23 Repair queued

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 02/28/2022
290,345 374,412
49,439 62,483
1,445 4,773





Reginfo record details
11
table that charts list of burden
IC Title Form No. Form Name
IC-10: 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
IC-11: Endorsement of Household Goods Motor Carrier Policies of Insurance for Cargo Liability Under 49 USC13906 BMC-32 Endorsement for Household Goods Motor Carrier Policies of Insurance for Cargo Liability Under 49 U.S.C. 13906
IC-1: 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
IC-2: 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
IC-3: Motor Carrier Cargo Liability Certificate of Insurance BMC-34 Household Goods Motor Carrier Cargo Liability Certificate of Insurance
IC-4: Motor Carrier Bodily 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
IC-5: 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
IC-6: 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
IC-7: 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
IC-8: 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
IC-9: 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

table that charts list of burden
  Total Request 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 290,345 374,412 0 0 -84,067 0
Annual Time Burden (Hours) 49,439 62,483 0 0 -13,044 0
Annual Cost Burden (Dollars) 1,445 4,773 0 0 -3,328 0


Reginfo record details
  No