Coast Guard Boating Accident Report Form (CG-3865)

Coast Guard Boating Accident Report Form (CG-3865)

OMB: 1625-0003

IC ID: 20444

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 1625-0003_Inst_r1_2012.doc Yes Yes Printable Only
Form CG-3865 Recreational Boating Accident Report CG-3865_1-11_BARD.pdf Yes Yes Fillable Printable
Other-BARD Screenshot 1625-0003_BARD_screenshot_120403.pdf Yes Yes Fillable Printable

Transportation Water Transportation

 

56 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 5,094 0 94 0 0 5,000
Annual IC Time Burden (Hours) 2,970 0 470 0 0 2,500
Annual IC Cost Burden (Dollars) 2,241 0 41 0 0 2,200

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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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