Information Collection

Proof of Financial Responsibility - Optional Rider

IC 180149 under ICR 202309-3072-002 · OMB 3072-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FMC-48A Proof of Financial Responsibility - Optional Rider	Form
Form FMC-48A Optional Rider for Additional NVOCC Financial Responsibility Proof of Financial Responsibility - Optional Rider	Form
Form FMC-69A Optional Rider for Additional NVOCC Financial Responsibility for Group Bonds Proof of Financial Responsibility - Optional Rider	Form
FMC-48A Optional Rider for Additional NVOCC Financial Responsibi FMC-48AOptionalRider.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-48AOptionalRider.pdf	Form
FMC-48A Optional Rider for Additional NVOCC Financial Responsibi FMC-48AOptionalRider.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-48AOptionalRider.pdf	Form
FMC-69A Optional Rider for Additional NVOCC Financial Responsibi FMC-69AOptRiderGroupBonds.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-69AOptRiderGroupBonds.pdf	Form
FMC-69A Optional Rider for Additional NVOCC Financial Responsibi FMC-69AOptRiderGroupBonds.pdf www.fmc.gov/wp-content/uploads/2022/08/FMC-69AOptRiderGroupBonds.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 46 CFR 515.25

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-48A			https://www.fmc.gov/wp-content/uploads/2022/08/FMC-48AOptionalRider.pdf	Yes	No	Printable Only
Form	FMC-69A			https://www.fmc.gov/wp-content/uploads/2022/08/FMC-69AOptRiderGroupBonds.pdf	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

Number of Respondents for Small Entity: 12

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12	-3	15
Annual IC Time Burden (Hours)	4	-1	5
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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