Information Collection

Proof of Financial Responsibility

IC 180137 under ICR 202309-3072-002 · OMB 3072-0018.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.