Coast Guard Boating Accident Report Form (CG-3865)

Forms and Documents

Document Name	Status
Form CG-3865 Coast Guard Boating Accident Report Form (CG-3865) Form	Modified
TITLE 46 USC CHAP-61_SEC-6102.pdf Supplementary Document	2006-12-28
1625-0003 CG-3865.pdf Supplementary Document	2006-12-28
33cfr174.121.pdf Supplementary Document	2006-12-21
33 CFR 173.51-57.pdf Supplementary Document	2006-12-21
1625-0003 30Day FR.doc Supplementary Document	2006-12-21
1625-0003 60DayFR.doc Supplementary Document	2006-12-21
1625-0003_Supporting-Statement-rev.doc Supporting Statement A	2006-12-21

IC Document Collections

IC ID	Document Title	Status
20444	Coast Guard Boating Accident Report Form (CG-3865) Form	Modified

ICR Details

OMB Control No: 1625-0003	ICR Reference No: 200612-1625-008
Status: Historical Active	Previous ICR Reference No: 200308-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Coast Guard Boating Accident Report Form (CG-3865)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/01/2007
	Date Received in OIRA: 12/28/2006
Terms of Clearance: This ICR is approved for one year. Prior to resubmission, USCG will seek and address feedback from key stakeholders to assess potential data utility and data quality concerns. USCG will also test and refine the form’s layout, instructions, and information collection elements.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2008	36 Months From Approved	02/28/2007
Responses	5,000	0	6,500
Time Burden (Hours)	2,500	0	3,250
Cost Burden (Dollars)	0	0	0

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Abstract: This report is filed by operators of recreational vessels involved in accidents. Data collected from these reports are used to identify possible manufacturer defects in boats or equipment, to develop boating safety programs, and to publish accident statistics in accordance with 46 USC 6102.

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Authorizing Statute(s): US Code: 46 USC Chapter 61, Section 6102 Name of Law: null
  

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:
	71 FR 12378	03/10/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 76355	12/20/2006
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
Coast Guard Boating Accident Report Form (CG-3865)	CG-3865	Boating Accident Report

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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	5,000	6,500	0	-1,500	0	0
Annual Time Burden (Hours)	2,500	3,250	0	-750	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The annual burden hours and respondents decreased due to the number of recreational boating accidents that satisfy federal reporting requirements continue along a downward trend.

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Annual Cost to Federal Government: $300,000

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

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: 12/28/2006

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