Third Party Damage Claims

Claims Under the Oil Pollution Act of 1990

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0067 can be found here:

Documents and Forms

Document Name Document Type
1625-0067_Inst_r1_2011.docx Instruction

Information Collection (IC) Details

IC Title:	Third Party Damage Claims	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 33 CFR 2713

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0067_Inst_r1_2011.docx		Yes	Yes	Printable Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 93	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	93	93
Annual IC Time Burden (Hours)	1,992	1,992
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.