Information Collection

U.S. Coast Guard International Ice Patrol (IIP) Customer Survey

IC 20618 under ICR 201301-1625-004 · OMB 1625-0087.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0087 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-16700 U.S. Coast Guard International Ice Patrol (IIP) Customer Survey	Form
1625-0087 Instructions_r2.doc	Instruction
CG-16700 North American Ice Service (NAIS) Customer Survey CG16700.pdf	Form

IC Title:

U.S. Coast Guard International Ice Patrol (IIP) Customer Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-16700	North American Ice Service (NAIS) Customer Survey	CG16700.pdf		Yes	Yes	Fillable Printable
Instruction			1625-0087 Instructions_r2.doc		Yes	Yes	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	300	0	300
Annual IC Time Burden (Hours)	120	0	120
Annual IC Cost Burden (Dollars)	75	75	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.