Defect/Noncompliance Report and Campaign Update Report

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0010 can be found here:

Documents and Forms

Document Name Document Type
Form CG-4917 (10/15) Defect/Noncompliance Report and Campaign Update Report Form
1625-0010_Inst_r0_2018.doc Instruction
CG-4917 (10/15) Defect/Noncompliance Report CG4917.pdf www.uscg.mil/forms Form
CG-4918 (10/15) Campaign Update Report CG4918.pdf www.uscg.mil/forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Defect/Noncompliance Report and Campaign Update Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 179.03 33 CFR 179.13 33 CFR 179.15 46 CFR 160.076

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-4917 (10/15)	Defect/Noncompliance Report	CG4917.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	CG-4918 (10/15)	Campaign Update Report	CG4918.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0010_Inst_r0_2018.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: 37	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	148	-36	184
Annual IC Time Burden (Hours)	148	-59	207
Annual IC Cost Burden (Dollars)	449	-109	558

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.