Motor Carrier Records Change Form

Forms and Documents

Document Name	Status
Form MCSA-5889 Motor Carrier Records Change Form Form and Instruction	New
PRA-2126NEW.30day.FR.Motor Carrier Record Change Form.102814.pdf Supplementary Document	2014-10-31
PRA-2126NEW.60day.FR.Motor Carrier Record Change Form.062714.pdf Supplementary Document	2014-10-31
49 CFC 360.3, Filing Fees.doc Supplementary Document	2014-10-31
49 CFR 365.doc Supplementary Document	2014-10-31
49 U.S.C. 13905.doc Supplementary Document	2014-10-31
49 U.S.C. 13904.doc Supplementary Document	2014-10-31
49 U.S.C. 13903.doc Supplementary Document	2014-10-31
49 U.S.C. 13902.doc Supplementary Document	2014-10-31
PRA-2126NEW.SS.MC Records ChangeForm.102814.SL.Use.docx Supporting Statement A	2014-10-31

IC Document Collections

IC ID	Document Title	Status
213696	Motor Carrier Records Change Form Form and Instruction	New

ICR Details

OMB Control No: 2126-0060	ICR Reference No: 201410-2126-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/FMCSA	Agency Tracking No:
Title: Motor Carrier Records Change Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/10/2015
	Date Received in OIRA: 03/02/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved
Responses	22,300	0	0
Time Burden (Hours)	5,575	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request (ICR) form will be used to more efficiently collect the information required by FMCSA to process name and addresses and reinstatements of operating authority requests. For-hire motor carriers, brokers and freight forwarders are required to notify FMCSA when they change the name or address of their company. This multi-purpose form will simplify the process of gathering the information needed to process the entities' requests in a timely manner, with the least amount of effort for all parties involved.

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Authorizing Statute(s): US Code: 49 USC 13902 Name of Law: Registration of motor carriers
   US Code: 49 USC 13903 Name of Law: Registration of freight forwarders
   US Code: 49 USC 13904 Name of Law: Registration of brokers
   US Code: 49 USC 13905(c) Name of Law: Effective periods of registration
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 36578	06/27/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 64244	10/28/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Motor Carrier Records Change Form	MCSA-5889	Motor Carrier Records Change Form

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	22,300	0	0	22,300	0	0
Annual Time Burden (Hours)	5,575	0	0	5,575	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This program change increase of 5,575 estimated annual burden hours is due to a new ICR that will be used to more efficiently collect information the FMCSA requires to process name and address changes and reinstatements of operating authority requests.

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Annual Cost to Federal Government: $147,793

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/02/2015

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