Information Collection

Financial Responsibility for Water Pollution (Vessels)

IC 41280 under ICR 201510-1625-009 · OMB 1625-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0046_Inst_r0_2015.doc	Instruction
CG-5585 (07/12) Application for Vessel Certificate of Financial Responsi CG5585.pdf www.uscg.mil/npfc/forms.htm	Form and Instruction
CG-5586 (07/12) Insurance Guaranty CG5586.pdf www.uscg.mil/npfc/forms.htm	Form
CG-5586-1 (07/12) Master Insurance Guaranty CG5586-1.pdf www.uscg.mil/npfc/forms.htm	Form
CG-5586-2 (07/12) Surety Bond Guaranty CG5586-2.pdf www.uscg.mil/npfc/forms.htm	Form
G-5586-3 (07/12) Financial Guaranty CG5586-3.pdf www.uscg.mil/npfc/forms.htm	Form
CG-5586-4 (07/12) Master Financial Guaranty CG5586-4.pdf www.uscg.mil/npfc/forms.htm	Form

IC Title:

Financial Responsibility for Water Pollution (Vessels)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 33 CFR Part 138.80 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0046_Inst_r0_2015.doc		Yes	Yes	Printable Only
Form and Instruction	CG-5585 (07/12)	Application for Vessel Certificate of Financial Responsibility (Water Pollution)	CG5585.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	CG-5586 (07/12)	Insurance Guaranty	CG5586.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	CG-5586-1 (07/12)	Master Insurance Guaranty	CG5586-1.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	CG-5586-2 (07/12)	Surety Bond Guaranty	CG5586-2.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	G-5586-3 (07/12)	Financial Guaranty	CG5586-3.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	CG-5586-4 (07/12)	Master Financial Guaranty	CG5586-4.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,400	3,400
Annual IC Time Burden (Hours)	3,400	3,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.