Information Collection

Application for IMO Number

IC 216645 under ICR 201809-0648-006 · OMB 0648-0595.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0595 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application for IMO Number	Form
Privacy Act Statement.docx	Other-informatiion
IMO application form imoform1.pdf	Form

IC Title:

Application for IMO Number

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation:

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	NA	IMO application form	imoform1.pdf		Yes	Yes	Fillable Fileable
Other-informatiion			Privacy Act Statement.docx		Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2	-2	4
Annual IC Time Burden (Hours)	1	-1	2
Annual IC Cost Burden (Dollars)	2	-2	4

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.