Information Collection

Participation Certification

IC 183043 under ICR 201102-1625-002 · OMB 1625-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0092 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0092_Inst_r1_2011.doc	Instruction

IC Title:

Participation Certification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 159

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
Instruction			1625-0092_Inst_r1_2011.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 157

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	157	110	47
Annual IC Time Burden (Hours)	78	54	24
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.