Information Collection

Application for Continuous Synopsis Record

IC 182241 under ICR 200904-1625-001 · OMB 1625-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-6039 Application for Continuous Synopsis Record	Form and Instruction
1625-0002_Inst_r0_2010.doc	Instruction
CG-6039 Application for Continuous Synopsis Record CG-6039(ExpDate).pdf This form will be made available upon approval.	Form and Instruction

IC Title:

Application for Continuous Synopsis Record

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 101.115 46 CFR 104.297

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 and Instruction	CG-6039	Application for Continuous Synopsis Record	CG-6039(ExpDate).pdf	This form will be made available upon approval.	Yes	Yes	Fillable Printable
Instruction			1625-0002_Inst_r0_2010.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	80	77	3
Annual IC Time Burden (Hours)	40	38	2
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.