Application and Permit to Handle Hazardous Material

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0005 can be found here:

Documents and Forms

Document Name Document Type
Form CG-4260 Application and Permit to Handle Hazardous Material Form
1625-0005_Inst_r0_2011.doc Instruction
CG-4260 Application and Permit to Handle Hazardous Materials CG-4260_6-04.pdf www.uscg.mil/forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application and Permit to Handle Hazardous Material	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 46 CFR 176.100

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-4260	Application and Permit to Handle Hazardous Materials	CG-4260_6-04.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0005_Inst_r0_2011.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 74	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	62	-106	168
Annual IC Time Burden (Hours)	93	9	84
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.