Proof of Financial Responsibility

46 CFR 515- Licensing, Financial Responsibility Requirements, and General Duties for Ocean Transportation Intermediaries and Related Forms.

Documents and Forms

Document Name Document Type
Form FMC-48 Proof of Financial Responsibility Form
FMC-48 Ocean Transportation Intermediary (OTI) Bond FMC-48OTISuretyBond.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-48OTISuretyBond.pdf Form
FMC-48 Ocean Transportation Intermediary (OTI) Bond FMC-48OTISuretyBond.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-48OTISuretyBond.pdf Form
FMC-67 Ocean Transportation Intermediary Insurance Form Furnish FMC-67OTIInsuranceForm.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-67OTIInsuranceForm.pdf Form
FMC-67 Ocean Transportation Intermediary Insurance Form Furnish FMC-67OTIInsuranceForm.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-67OTIInsuranceForm.pdf Form
FMC-68 Guaranty in Respect of Ocean Transportation Intermediary FMC-68.pdf www.fmc.gov/wp-content/uploads/2019/04/FMC-68.pdf Form
FMC-68 Guaranty in Respect of Ocean Transportation Intermediary FMC-68.pdf www.fmc.gov/wp-content/uploads/2019/04/FMC-68.pdf Form
FMC-69 Ocean Transportation Intermediary Group Supplemental Cov FMC-69OTIGroupBondForm-1.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-69OTIGroupBondForm-1.pdf Form
FMC-69 Ocean Transportation Intermediary Group Supplemental Cov FMC-69OTIGroupBondForm-1.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-69OTIGroupBondForm-1.pdf Form

Information Collection (IC) Details

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 515.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FMC-48	Ocean Transportation Intermediary (OTI) Bond	FMC-48OTISuretyBond.pdf	https://www.fmc.gov/wp-content/uploads/2022/08/FMC-48OTISuretyBond.pdf	Yes	No	Printable Only
Form	FMC-67	Ocean Transportation Intermediary Insurance Form Furnished as Evidence of Financial Responsibility	FMC-67OTIInsuranceForm.pdf	https://www.fmc.gov/wp-content/uploads/2022/08/FMC-67OTIInsuranceForm.pdf	Yes	No	Printable Only
Form	FMC-68	Guaranty in Respect of Ocean Transportation Intermediary Liability for Damages, Reparations or Penalties	FMC-68.pdf	https://www.fmc.gov/wp-content/uploads/2019/04/FMC-68.pdf	Yes	No	Printable Only
Form	FMC-69	Ocean Transportation Intermediary Group Supplemental Coverage Bond Form	FMC-69OTIGroupBondForm-1.pdf	https://www.fmc.gov/wp-content/uploads/2022/08/FMC-69OTIGroupBondForm-1.pdf	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,210	Number of Respondents for Small Entity: 5,210

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,210	-404	5,614
Annual IC Time Burden (Hours)	1,737	-134	1,871
Annual IC Cost Burden (Dollars)	0	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.