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Financial Responsibility for Water Pollution (Vessels)
Financial Responsibility for Water Pollution (Vessels)
OMB: 1625-0046
IC ID: 41280
OMB.report
DHS/USCG
OMB 1625-0046
ICR 201510-1625-009
IC 41280
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0046 can be found here:
2022-09-01 - Revision of a currently approved collection
2022-04-29 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
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:
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 %
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
3,400
0
0
0
0
3,400
Annual IC Time Burden (Hours)
3,400
0
0
0
0
3,400
Annual IC Cost Burden (Dollars)
0
0
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.