Information Collection

Proof of Financial Responsibility

IC 180137 under ICR 201307-3072-003 · OMB 3072-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3072-0018 can be found here:

Documents and Forms

Document Name Document Type
Form FMC-48 Proof of Financial Responsibility Form
FMC-48 Ocean Transportation Intermediary (OTI) Bond Form_48_OTI_Bond_Form.pdf www.fmc.gov/images/pages/Form_48_OTI_Bond_Form.pdf Form
FMC-67 Ocean Transportation Intermediary Insurance Form Furnish Form FMC67.doc Form
FMC-68 Guaranty in Respect of Ocean Transportation Intermediary Form FMC68.doc Form
FMC-69 Ocean Transportation Intermediary Group Supplemental Cov Form_69_-_Ocean_Transportation_Intermediary_(OTI)_Group_Bond.pdf www.fmc.gov/images/pages/Form_69_-_Ocean_Transportation_Intermediary_(OTI)_Group_Bond.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Proof of Financial Responsibility	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 515.22

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	Form_48_OTI_Bond_Form.pdf	http://www.fmc.gov/images/pages/Form_48_OTI_Bond_Form.pdf	Yes	No	Printable Only
Form	FMC-67	Ocean Transportation Intermediary Insurance Form Furnished as Evidence of Financial Responsibility Under 46 U.S.C. app. 1718	Form FMC67.doc		No		Paper Only
Form	FMC-68	Guaranty in Respect of Ocean Transportation Intermediary Liability for Damages, Reparations or Penalties Arising from Transportation-Related Activities Under the Shipping Act of 1984, as amended. . .	Form FMC68.doc		No		Paper Only
Form	FMC-69	Ocean Transportation Intermediary Group Supplemental Coverage Bond Form	Form_69_-_Ocean_Transportation_Intermediary_(OTI)_Group_Bond.pdf	http://www.fmc.gov/images/pages/Form_69_-_Ocean_Transportation_Intermediary_(OTI)_Group_Bond.pdf	Yes	No	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,865	Number of Respondents for Small Entity: 10,865

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10,865	10,865
Annual IC Time Burden (Hours)	3,622	3,622
Annual IC Cost Burden (Dollars)	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.