1625-0017 SS r1 2014 calc-sheet-App-A-to-B

1625-0017

Appendix A: Total Estimated Annual Burden on Industry
Total Number of Respondents

413

Total Number of Responses

912

Total Hour Burden

94

Total Cost Burden

$2,434

Certificate, Record,

Form

Frequency

Annual #

Hour Burden

Total Annual

Total Annual

Number

of Issue

of Responses

per Document

Hour Burden

Cost Burden

CG-968

Every Year

23

0.1

2.3

$60

CG-4359

Every 5 Years

134

0.1

13.4

$348

CG-3347

Every 5 Years

147

0.1

14.7

$382

CG-5643

Every 5 Years

166

0.1

16.6

$432

CG-968A

Every Year

18

0.1

1.8

$47

CG-967

Every Year

25

0.1

2.5

$65

CG-3347B

Every 5 Years

69

0.1

6.9

$179

CG-5679

Every 5 Years

1

0.1

0.1

$3

CG-5680

Every 5 Years

0

0.1

0.0

$0

Continuous Synopsis Record
Interim Int'l Ship Security
Certificate
International Ship Security
Certificate

CG-6038

On Occasion

52

0.1

5.2

$135

CG-4361

On Occasion

8

0.1

0.8

$21

CG-4360

Every 5 Years

237

0.1

23.7

$616

Document of Compliance
High Speed Craft Safety
Record
Notice of Completion of Exam
for Safety Cert.
Amendments to CSR & Index
of Amendments

n/a

Every 5 Years

23

0.1

2.3

$60

CG-5679A

Every 5 Years

1

0.1

0.1

$3

CG-969

Every Year

2

0.1

0.2

$5

CG-6038A

On Occasion

6

0.5

3.0

$78

94

$2,434

or Notice
Passenger Ship Safety
Certificate
Cargo Ship Safety
Construction Certificate
Cargo Ship Safety Equipment
Certificate
ISM Safety Management
Certificate
Passenger Ship Safety Cert,
Record of Equipment
Exemption Certificate
Cargo Ship Safety Equip Cert,
Record of Equipment
High Speed Craft Safety
Certificate
Permit to Operate High Speed
Craft

TOTAL

912

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1625-0017

Appendix B: Estimated Annual Federal Government Cost
Annual Number of Documents

912

USCG Effort per Form (hours)

0.5

Total Government Effort (hours)

456

Hourly Wage Rate

$75

Total Government Cost

$34,200

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