Coast Guard Boating Accident Report Form (CG-3865)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0003 can be found here:

Documents and Forms

Document Name Document Type
Form CG-3865 Coast Guard Boating Accident Report Form (CG-3865) Form
CG-3865 Boating Accident Report CG-3865_BOATING-ACCIDENT-REPORT_1625-0003.pdf www.uscg.mil/ccs/cit/cim/forms1/form_cg.html Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Coast Guard Boating Accident Report Form (CG-3865)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 173.51-57 34 CFR 174.21 46 CFR Chap-61. Section 6102 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-3865	Boating Accident Report	CG-3865_BOATING-ACCIDENT-REPORT_1625-0003.pdf	http://www.uscg.mil/ccs/cit/cim/forms1/form_cg.html	Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,000	-1,500	6,500
Annual IC Time Burden (Hours)	2,500	-750	3,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.