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Federal forms, ICRs, and supporting documents

Information Collection

Proof of Financial Responsibility - Optional Rider

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

Documents and Forms
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Information Collection (IC) Details

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Proof of Financial Responsibility - Optional Rider
 
No Modified
 
Voluntary
 
46 CFR 515.25

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FMC-48A Optional Rider for Additional NVOCC Financial Responsibility FMC-48AOptionalRider.pdf https://www.fmc.gov/wp-content/uploads/2022/08/FMC-48AOptionalRider.pdf Yes No Printable Only
Form FMC-69A Optional Rider for Additional NVOCC Financial Responsibility for Group Bonds FMC-69AOptRiderGroupBonds.pdf https://www.fmc.gov/wp-content/uploads/2022/08/FMC-69AOptRiderGroupBonds.pdf Yes No Printable Only

Transportation Water Transportation

 

12 12
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 12 0 -3 0 0 15
Annual IC Time Burden (Hours) 4 0 -1 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.