Adequacy Certification for Reception Facilities and Advance Notice - 33 CFR Part 158

Adequacy Certification for Reception Facilities and Advance Notice - - 33 CFR Part 158

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0045 can be found here:

Documents and Forms

Document Name Document Type
1625-0045_Inst_r2_2015-fac.doc Instruction
CG-5401A Application for Certificate of Adequacy for Reception Fa CG5401arev1.pdf www.uscg.mil/forms/cg.asp?files=280&id= Form and Instruction
CG-5401B Application for Certificate of Adequacy for Reception Fa CG5401brev1.pdf www.uscg.mil/forms/cg.asp?files=280&id= Form and Instruction
CG-5401C Application for Certificate of Adequacy for Reception Fa CG5401crev1.pdf www.uscg.mil/forms/cg.asp?files=280&id= Form and Instruction

Information Collection (IC) Details

IC Title:	Adequacy Certification for Reception Facilities and Advance Notice - - 33 CFR Part 158	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 158.140

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0045_Inst_r2_2015-fac.doc		Yes	Yes	Printable Only
Form and Instruction	CG-5401A	Application for Certificate of Adequacy for Reception Facilities	CG5401arev1.pdf	http://www.uscg.mil/forms/cg.asp?files=280&id=	Yes	Yes	Fillable Printable
Form and Instruction	CG-5401B	Application for Certificate of Adequacy for Reception Facilities FORM B	CG5401brev1.pdf	http://www.uscg.mil/forms/cg.asp?files=280&id=	Yes	Yes	Fillable Printable
Form and Instruction	CG-5401C	Application for Certificate of Adequacy for Reception Facilities FORM C	CG5401crev1.pdf	http://www.uscg.mil/forms/cg.asp?files=280&id=	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 402	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	402	15,530	-15,228	100
Annual IC Time Burden (Hours)	570	-3,807	4,194	183
Annual IC Cost Burden (Dollars)	0	0	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.