Third Party Damage Claims

U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD

Claims under the Oil Pollution Act of 1990

OMB No. 1625-0067 Exp: 04/30/2015

Who must comply?	Anyone that has been adversely affected by an oil spill and seeks compensation for removal costs and damages incurred (e.g., Individuals, Businesses, Federal government, state government, local government, Indian tribes)
What is this collection about?	This collection supports all claims adjudication activities undertaken by the National Pollution Funds Center (NPFC). The NPFC will use the information collected under this request to determine whether claims submitted to the Fund are compensable from the Oil Spill Liability Trust Fund (OSLTF). For compensable claims, the information collected will also provide the basis for determining the appropriate compensation of removal costs or damages from the OSLTF.
Where do I find the requirements for this information?	33 CFR part 136
When must information be submitted to the Coast Guard?	Information must be submitted to the Coast Guard before the statute of limitation period under 33 U.S.C. 2712(h) for the particular claim type is reached. Due to the uncertainty of when an oil discharge will occur and who will be impacted, this information is submitted on an “on occasion” basis.
How is the information submitted?	Information is submitted via standard mail, fax or other rapid means ATTN: Claims Adjudication Division , NATIONAL POLLUTION FUNDS CENTER, US COAST GUARD STOP 7100, 4200 WILSON BLVD STE 1000, ARLINGTON VA 20598-7100
What happens when complete information is received?	For compensable claims, the information collected will provide the basis for determining the appropriate compensation of removal costs or damages from the OSLTF.
For additional information, contact--	Director, National Pollution Funds Center, U.S. Coast Guard STOP 7100, 4200 Wilson Blvd Ste 1000, Arlington, VA 20598-7100 ATTN: Ashanti T. Thompson (703) 872-6009

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number.

The Coast Guard states, since the hours burden is determined by the complexity of the claim (e.g., the type and amount of costs/damages incurred) and not the size of the entity, it is not possible to systematically provide alternative information requirements for small entities without compromising the quality and consistency of the adjudication process.

You may submit any comments concerning the accuracy of this burden estimate or any suggestions for reducing the burden to: Director, National Pollution Funds Center, U.S. Coast Guard STOP 7100, 4200 Wilson Blvd Ste 1000, Arlington VA 20598-7100