Information Collection

Coast Guard Boating Accident Report Form (CG-3865)

IC 20444 under ICR 200612-1625-008 · OMB 1625-0003.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.