Exemption Certificate

Various International Agreement Safety Certificates and Documents

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0017 can be found here:

Documents and Forms

Document Name Document Type
1625-0017_Inst_r0_2010.doc Will be posted here upon approval: www.uscg.mil/hq/cg6/cg611/coi/omb.asp Instruction

Information Collection (IC) Details

IC Title:	Exemption Certificate	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 2.01 - 25

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0017_Inst_r0_2010.doc	Will be posted here upon approval: http://www.uscg.mil/hq/cg6/cg611/coi/omb.asp	Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 672	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	Previously Approved
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	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.