1625-0046 Change Worksheet

PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

US COAST GUARD
Enter only items that change
Current record

1625

0046

___ ___ ___ ___ - ___ ___ ___ ___

New record

Agency form number (s)

CG-5585

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

Form CG-5585 was inadvertently omitted during the submission process. There were no changes to the collections.
Form is attached.
Signature of Senior Official or designee:

2006.02.09 12:58:10 - Date:
05'00'

Arthur A. Requina
** This form cannot be used to extend an expiration date.

OMB 83-C

12/06/2006

For OIRA Use
___________________________________
___________________________________

10/95