49 C.F.R. § 1201 app I to Part 1201
Carrier: (Exact legal title or name of the respondent)____________________
____________________
Name, title, telephone number and address of the person to be contacted:
Name____________________
Title____________________
Telephone Number: (Area Code) and (Telephone number)____________________
Office Address: (Street and number) (City, State, and ZIP code)____________________
____________________
certification
I, the undersigned,____________________
of (Title of officer in charge of accounts)____________________
____________________
(Full name of reporting company)____________________
certify that during the calendar year 19__ the branch line accounting system data were collected and maintained for each line that met the criteria set forth in 49 CFR 1201, Subpart B, section 920(a), Lines For Which Data Collection Is Required, (Docket No. 36366).
Signature____________________
Date______
The lines covered by this certification are described below: (Describe each branch line separately using the following format as set forth in 49 CFR 1152.11 .)
(a) Carrier's designation for line (Ex. Zanesville Secondary Track);
(b) State or states in which line is located;
(c) County or counties in which line is located;
(d) Milepost delineating each line or portion of line;
(e) Agency or terminal station(s) located on line or portion of line with milepost designations;
(f) Current category designation and date placed in that category; and
(g) Previous category.
49C.F.R. 1201 app I to Part 1201