Information Collection

Simplified Measurement System

IC 20485 under ICR 201804-1625-001 · OMB 1625-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-5397 (10/17) Simplified Measurement System	Form and Instruction
1625-0022_Inst_r4_2017-msc.doc	Instruction
CG-5397 (10/17) Application for Simplified Measurement CG-5397_10-17.pdf www.uscg.mil/forms	Form and Instruction

IC Title:

Simplified Measurement System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 69.205

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
Form and Instruction	CG-5397 (10/17)	Application for Simplified Measurement	CG-5397_10-17.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0022_Inst_r4_2017-msc.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,802

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6,802	1	6,801
Annual IC Time Burden (Hours)	13,604	-1,006	14,610
Annual IC Cost Burden (Dollars)	4,081	4,081	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.