Application for Vessel Inspection, Waiver and Continuous Synopsis Record

Forms and Documents

Document Name	Status
Form CG-6039 Application for Continuous Synopsis Record Form and Instruction	Modified
Form CG-2633 Application for Waiver and Waiver Order Form	Modified
1625-0002_NoR_r2_2011.doc Supplementary Document	2011-02-02
1625-0002_StatA.pdf Supplementary Document	2011-01-10
60 Day Federal Register.doc Supplementary Document	2011-01-10
30 Day Federal Register.doc Supplementary Document	2011-01-10
1625-0002_SS_r4_2011.doc Supporting Statement A	2011-04-08

IC Document Collections

IC ID	Document Title	Status
20442	Application for Inspection of U.S. Vessel Instruction	Modified
182241	Application for Continuous Synopsis Record Form and Instruction	Modified
182237	Application for Waiver and Waiver Order Form	Modified

ICR Details

OMB Control No: 1625-0002	ICR Reference No: 200904-1625-001
Status: Historical Active	Previous ICR Reference No: 200706-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Application for Vessel Inspection, Waiver and Continuous Synopsis Record
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/08/2011
	Date Received in OIRA: 02/07/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2014	36 Months From Approved	04/30/2011
Responses	5,176	0	3,380
Time Burden (Hours)	1,315	0	848
Cost Burden (Dollars)	0	0	0

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Abstract: The collection of information requires owner, operator, agent, or master of a vessel to apply in writing to the Coast Guard before commencement of the inspection for certification, when a waiver is desired from the requirements of navigation and vessel in- spection, or to request a Continuous Synopsis Record.

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Authorizing Statute(s): US Code: 46 USC 3306 and 3309 Name of Law: Shipping
   US Code: 33 USC 1231 Name of Law: Navigation and Navigable Waters
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 57809	09/22/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 80514	12/22/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Application for Inspection of U.S. Vessel	CG-3752, CG-3752A	Application for US Vessel Inspection ,   Application for Inspection of U.S. Vessel (New Construction)
Application for Waiver and Waiver Order	CG-2633	Application for Waiver and Waiver Order
Application for Continuous Synopsis Record	CG-6039	Application for Continuous Synopsis Record

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ICR Summary of Burden

	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	5,176	3,380	0	0	1,796	0
Annual Time Burden (Hours)	1,315	848	0	0	467	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in burden (i.e., increase) is an ADJUSTMENT due to several factors. First, an increase in vessel population. Second, a change in the Coast Guard's data collection method which enabled us to more accurately capture additional subpopulations not previously accounted for during data queries.

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Annual Cost to Federal Government: $65,725

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/07/2011

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