This information collection is
mandatory reporting for which the frequency is on an as needed
basis. The information is collected from for-hire motor carriers,
brokers and freight forwarders who are required to notify the
Office of Registration and Safety Information located within DOT’s
Federal Motor Carrier Safety Administration (FMCSA), when they
change the name or address of their company. The name change
request may be filed online through the Licensing and Insurance
website, or companies may fax or mail the form requesting either
name or address changes. Carriers may also, by use of this form,
request reinstatement of a revoked operating authority either
online or via fax. The purpose of the collection is to enable FMCSA
to maintain up-to-date records which will allow the agency to
recognize the entity in question in case of enforcement actions, or
other procedures required to ensure the carrier is fit, willing and
able to provide for-hire transportation services. The collection
will also enable entities whose authority has been revoked to
undergo the process to resume operations, if they are not otherwise
blocked from doing so. This multi-purpose form simplifies 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. The information reported to and
collected by FMCSA is motor carrier identification information
(such as legal names, DOT numbers, etc.), phone numbers, address
changes, changes in ownership, management, or control of the
company, reinstatement of operating authority information, and
payment information. The request is a revision because FMCSA added
a Yes/No question, added the Applicant’s Oath, removed one question
asking whether the applicant or its representative completed the
form, and removed three questions pertaining to name, title, and
signature.
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 13902 Name of Law: Registration of motor carriers
US Code: 49
USC 13905(c) Name of Law: Effective periods of registration
FMCSA adjusted its calculations
based on more recently available information. These adjustments
result in a reduction of the estimated number of responses by
17,778 (44,900 currently approved – 27,122 proposed), a reduction
in the number of burden hours by 4,444 (11,225 currently approved –
6,781 proposed), a reduction of $225,562 in burden hour costs
($654,867 currently approved - $429,305 proposed). The annual
hourly cost burden of $654,867 was inadvertently reported in the
table with the previous ICR submission, however the proposed the
proposed annual hourly cost burden of $429, 305 is now reported in
section 12 of the supporting statement instead. The request is a
revision because FMCSA added a Yes/No question, added the
Applicant’s Oath, removed one question asking whether the applicant
or its representative completed the form, and removed three
questions pertaining to name, title, and signature.
$221,587
No
No
No
No
No
No
No
Jeff Secrist 202 385-2367
jeff.secrist@dot.gov
No
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:
(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;
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.