Information Collection

Various International Agreement Pollution Prevention Certificates and Documents, and Equivalency Certificates

IC 20526 under ICR 200804-1625-013 · OMB 1625-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0041 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-5352 Various International Agreement Pollution Prevention Certificates and Documents, and Equivalency Certificates	Form
CG-5352 International Convention for the Preventin CG-5352.pdf This form is used by CG personnel only in the performance of their duties.	Form
CG-5352A IOPP Certificate Form A CG-5352A.pdf This form is used by CG personnel only in the performance of their duties.	Form
CG-5352B IOPP Certificate Form B CG-5352B.pdf This form is used by CG personnel only in the performance of their duties.	Form
CG-6047 International Sewage Pollution Prevention Equivalency Ce CG-6047.pdf This form is used by CG personnel only in the performance of their duties.	Form
CG-6056 International Air Pollution Prevention Certificate CG-6056.pdf This form is used by CG personnel only in the performance of their duties.	Form
CG-6056A Supplement to IAPP Certificate CG-6056A.pdf This form is used by CG personnel only in the performance of their duties.	Form
CG-6057 Statement of Voluntary Compliance CG-6057.pdf This form is used by CG personnel only in the performance of their duties.	Form

IC Title:

Various International Agreement Pollution Prevention Certificates and Documents, and Equivalency Certificates

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 151.19

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-5352	International Convention for the Preventin	CG-5352.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-5352A	IOPP Certificate Form A	CG-5352A.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-5352B	IOPP Certificate Form B	CG-5352B.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-6047	International Sewage Pollution Prevention Equivalency Certificate	CG-6047.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-6056	International Air Pollution Prevention Certificate	CG-6056.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-6056A	Supplement to IAPP Certificate	CG-6056A.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-6057	Statement of Voluntary Compliance	CG-6057.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,210

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	242	-26,836	27,078
Annual IC Time Burden (Hours)	80	-6,794	6,874
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.