Oil & Hazardous Substance Discharge

Report of Oil or Hazardous Substance Discharge and Report of Suspicious Maritime Activity

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0096 can be found here:

Documents and Forms

Document Name Document Type
1625-0096_Inst_r5_2018-mer.doc Instruction

Information Collection (IC) Details

IC Title:	Oil & Hazardous Substance Discharge	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 171.15 40 CFR 263.30 33 CFR 153.203

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0096_Inst_r5_2018-mer.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DHS/USCG - 013 MISLE	FR Citation: 74 FR 30305

Number of Respondents: 24,734	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	24,734	-14,518	39,252
Annual IC Time Burden (Hours)	1,979	-1,162	3,141
Annual IC Cost Burden (Dollars)	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.