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Third Party Damage Claims
Claims Under the Oil Pollution Act of 1990
OMB: 1625-0067
IC ID: 20577
OMB.report
DHS/USCG
OMB 1625-0067
ICR 201505-1625-004
IC 20577
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0067 can be found here:
2022-09-01 - Extension without change of a currently approved collection
2019-12-11 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
1625-0067_Inst_r0_2015.docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Third Party Damage Claims
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
33 CFR 2713
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
1625-0067_Inst_r0_2015.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Pollution Prevention and Control
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
150
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
150
0
0
57
93
0
Annual IC Time Burden (Hours)
3,932
0
0
1,940
1,992
0
Annual IC Cost Burden (Dollars)
4,624,704
0
4,624,704
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.