View Information Collection (IC)

View Information Collection (IC)

IC Title:	Proof of Financial Responsibility - Optional Rider	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:

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	form48a.pdf	http://www.fmc.gov/images/pages/form48a.pdf	Yes	No	Printable Only
Form	FMC-69A	Optional Rider for Additional NVOCC Financial Responsibility for Group Bonds	Form_69A_Optional_Rider_for_Additional_Financial_Responsibil.pdf	http://www.fmc.gov/images/pages/Form_69A_Optional_Rider_for_Additional_Financial_Responsibil.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 68	Number of Respondents for Small Entity: 68

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

Percentage of Respondents Reporting Electronically: 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	68	0	0	57	0	11
Annual IC Time Burden (Hours)	23	0	0	19	0	4
Annual IC Cost Burden (Dollars)	0	0	0	0	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.