Information Collection

Consumer Assistance and Dispute Resolution Intake Forms

IC 263568 under ICR 202311-3072-001 · OMB 3072-0075.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FMC-32 Consumer Assistance and Dispute Resolution Intake Forms	Form and Instruction
FMC-32 Dispute Resolution Services Request-Cargo FMC Form 32 rev8.2023.pdf	Form and Instruction
FMC-32 Dispute Resolution Services Request-Cargo FMC Form 32 rev8.2023.pdf	Form and Instruction
FMC-33 Dispute Resolution Services Request-Cruise FMC Form-33 rev 8.23 (1).pdf	Form and Instruction
FMC-33 Dispute Resolution Services Request-Cruise FMC Form-33 rev 8.23 (1).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	FMC-32	Dispute Resolution Services Request-Cargo	FMC Form 32 rev8.2023.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	FMC-33	Dispute Resolution Services Request-Cruise	FMC Form-33 rev 8.23 (1).pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 300

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	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.