1625-0100 OMB 83-I eNOAD

PAPERWORK REDUCTION ACT SUBMISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form,
contact your agency's Paperwork Clearance Officer. Send two copies of this form, the collection instrument to be
reviewed, the Supporting Statement, and any additional documentation to: Office of Information and Regulatory
Affairs, Office of Management and Budget, Docket Library, Room 10102, 725 17th Street NW Washington, DC
20503.
2. OMB control number

1. Agency/Subagency originating request

a.

Dept. of Homeland Security/US Coast Guard
3. Type of information collection (check one)
a.
b.
c.
d.

✘

New collection
Revision of a currently approved collection
Extension of a currently approved collection
Reinstatement, without change, of a previously approved
collection for which approval has expired

e.

Reinstatement, with change, of a previously approved
collection for which approval has expired

f.

Existing collection in use without an OMB control number

1 6 2 5

-

b.

None

0 1 0 0

4. Type of review requested (check one)
a. ✘ Regular submission
Emergency - Approval requested by:
b.
Delegated
c.

/

/

5. Small entities. Will this information collection have a significant economic
impact on a substantial number of small entities?
✘ No
Yes
6. Requested expiration date
a. ✘ Three years from approval date

b.

Other Specify:

/

For b-f, note item A2 of Supporting Statement instructions
7. Title

Advance Notice of Vessel Arrival and Departure
8. Agency form number(s) (if applicable)

I-418 (OMB No. 1651-0103)
9. Keywords

Arrival, Departure, Marine safety, Pollution prevention, Security, Vessel, Waiver
10. Abstract

The Ports and Waterways Safety Act authorizes the Coast Guard to require pre-arrival
messages form any vessel entering a port or place in the United Sates. This
information is required to control vessel traffic, develop contingency plans and
enforce regulations. Vessel owners and operators may apply for a waiver of rules.
11. Affected public (Mark primary with "P" and all others that apply with "X")
Farms
Individuals or households
d.
a.
Federal Government
e.
b. P Business or other for-profit
State, Local or Tribal Gov't
Not-for-profit institutions
f.
c.

12. Obligation to respond (Mark primary with "P" and all others that apply with "X")
Voluntary
a.
Required to obtain or retain benefits
b.
Mandatory
c. P

13. Annual reporting and recordkeeping hour burden

14. Annual reporting and recordkeeping cost burden (in thousands of
dollars)

a. Number of respondents
b. Total annual responses
1. Percentage of these responses
collected electronically
c. Total annual hours requested
d. Current OMB inventory
e. Difference
f. Explanation of difference
1. Program change
2. Adjustment
15. Purpose of information collection

30,850
157,122

100 %
157,122
200,039
- 42,917
- 42,917

(Mark primary with "P" and all others

that apply with "X")

a.
b.
c.
d.

Application for benefits e.
f.
Program evaluation
General purpose statistics
g.
Audit

Program planning or management
Research

Total annualized capital/startup costs
Total annual costs (O&M)
Total annualized cost requested
Current OMB inventory
Difference
Explanation of difference
1. Program change
2. Adjustment

Yes

✘ No

20,610
0
20,610
0
+ 20,610
+ 20,610

16. Frequency of recordkeeping or reporting (check all that apply)
a.
c.

b.

Recordkeeping

✘ Reporting
1. ✘ On occasion

P Regulatory or compliance

17. Statistical methods
Does this information collection employ statistical methods?

OMB 83-I

a.
b.
c.
d.
e.
f.

4.
7.

Quarterly
Biennially

2.
5.
8.

Third party disclosure

Weekly
Semi-annually
Other (describe)

3.
6.

Monthly
Annually

18. Agency contact (person who can best answer questions regarding the
content of this submission)
Name:

Mr. David Du Pont

Phone:

202-372-1497
10/95

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