Information Collection

Consumer Assistance and Dispute Resolution Intake Forms

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Consumer Assistance and Dispute Resolution Intake Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.