Application for Continuous Synopsis Record

Application for Vessel Inspection, Waiver and Continuous Synopsis Record

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0002 can be found here:

Documents and Forms

Document Name Document Type
Form CG-6039 Application for Continuous Synopsis Record Form and Instruction
1625-0002_Inst_r0_2010.doc Instruction
CG-6039 Application for Continuous Synopsis Record CG-6039(ExpDate).pdf This form will be made available upon approval. Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Continuous Synopsis Record	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 101.115 46 CFR 104.297

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CG-6039	Application for Continuous Synopsis Record	CG-6039(ExpDate).pdf	This form will be made available upon approval.	Yes	Yes	Fillable Printable
Instruction			1625-0002_Inst_r0_2010.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-80	80
Annual IC Time Burden (Hours)	-40	40
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.