Information Collection

Application and Permit to Handle Hazardous Material

IC 20449 under ICR 200803-1625-002 · OMB 1625-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-4260 Application and Permit to Handle Hazardous Material	Form
CG-4260 Application and Permit to Handle Hazardous Materials CG_4260.pdf www.uscg.mil/forms	Form

IC Title:

Application and Permit to Handle Hazardous Material

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 46 CFR 176.100

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-4260	Application and Permit to Handle Hazardous Materials	CG_4260.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 68

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	168	36	132
Annual IC Time Burden (Hours)	84	-61	145
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.