Information Collection

Maritime Identification Credentials -- Title 33 CFR Part 125

IC 41284 under ICR 200610-1625-005 · OMB 1625-0110.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Addendum to PRA Form 1625-0110.doc homeport.uscg.mil	Other-Screenshot of the Homeport scr
Copy of personnel_security_template.xls homeport.uscg.mil	Other-Screenshot of the Homeport scr

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 33 CFR 125.15 33 CFR 105 33 CFR 125.19

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshot of the Homeport screen			Addendum to PRA Form 1625-0110.doc	http://homeport.uscg.mil	Yes	Yes	Fillable Fileable
Other-Screenshot of the Homeport screen			Copy of personnel_security_template.xls	http://homeport.uscg.mil	Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,834

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	58,008	16,104	0	41,904
Annual IC Time Burden (Hours)	20,100	5,624	-29,320	43,796
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
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.