Coast Guard Boating Accident Report Form (CG-3865)

ICR 200801-1625-008

OMB: 1625-0003

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2008-06-25
Supporting Statement A
2008-06-25
Supplementary Document
2008-02-20
Supplementary Document
2008-02-20
Supplementary Document
2008-01-10
IC Document Collections
IC ID
Document
Title
Status
20444 Modified
ICR Details
1625-0003 200801-1625-008
Historical Active 200612-1625-008
DHS/USCG
Coast Guard Boating Accident Report Form (CG-3865)
Revision of a currently approved collection   No
Regular
Approved without change 07/02/2008
Retrieve Notice of Action (NOA) 03/21/2008
  Inventory as of this Action Requested Previously Approved
07/31/2011 36 Months From Approved 07/31/2008
5,000 0 5,000
2,500 0 2,500
2,050 0 0

This report is submitted by State reporting authorities to the USCG. Data collected from these reports are used to establish USCG Marine Safety performance measures and publish statistics in accordance with Title 46 USC 6102.

US Code: 46 USC 6102 Name of Law: State marine casualty reporting system
  
None

Not associated with rulemaking

  72 FR 59101 10/18/2007
73 FR 6985 02/06/2008
Yes

1
IC Title Form No. Form Name
Coast Guard Boating Accident Report Form (CG-3865) CG-3865 Boating Accident Report

  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 5,000 0 0 0 0
Annual Time Burden (Hours) 2,500 2,500 0 0 0 0
Annual Cost Burden (Dollars) 2,050 0 0 2,050 0 0
No
No

$300,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Jeff Ludwig 202 372-1061

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/21/2008


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