Coast Guard Boating Accident Report Form (CG-3865)

Coast Guard Boating Accident Report Form (CG-3865)

OMB: 1625-0003

IC ID: 20444

Information Collection (IC) Details

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Coast Guard Boating Accident Report Form (CG-3865)
 
No Modified
 
Mandatory
 
33 CFR 173 33 CFR 174 33 CFR 173.55

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CG-3865 Boating Accident Report CG3865final.pdf http://www.uscg.mil/forms Yes Yes Fillable Printable
Instruction 1625-0003 Instructions_r1.doc Yes Yes Printable Only
Other-Snapshot BARD Snapshots2.doc Yes Yes Fillable Printable

Transportation Water Transportation

 

5,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 2,500 0 0 0 0 2,500
Annual IC Cost Burden (Dollars) 2,200 0 0 150 0 2,050

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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