Information Collection

Welding and Hot Works Permits; Posting of Warning Signs

IC 20471 under ICR 201209-1625-002 · OMB 1625-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-4201 Welding and Hot Works Permits; Posting of Warning Signs	Form
1625-0016_Inst_r3 2012 .doc	Instruction
CG-4201 Welding and Hotwork CG-4201_10-06(2).pdf www.uscg.mil/forms	Form

IC Title:

Welding and Hot Works Permits; Posting of Warning Signs

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 126.15(a)(3) 33 CFR 127.617 33 CFR 127.1603

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-4201	Welding and Hotwork	CG-4201_10-06(2).pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0016_Inst_r3 2012 .doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 259

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	967	219	748
Annual IC Time Burden (Hours)	546	121	425
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.