IMPORTANT: If this is a safety emergency, please call 911 immediately.
Time to complete a complaint includes the time for reviewing instructions, gathering the data needed,
and completing and reviewing the collection of information. All responses are voluntary. OMB Control
Number assigned pursuant to the Paperwork Reduction Act: 2126-0067.
Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to: The Division Chief, the Commercial Enforcement
and Investigations Division, Federal Motor Carrier Safety Administration, MC-SEI,
1200 New Jersey Avenue, SE, Washington, D.C. 20590.