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State Registration Data
STATE REGISTRATION DATA
OMB: 1625-0131
IC ID: 236013
OMB.report
DHS/USCG
OMB 1625-0131
ICR 201905-1625-001
IC 236013
( )
Documents and Forms
Document Name
Document Type
Form CGHQ-3923 (01/19)
State Registration Data
Form
1625-NEW_Instruction_r2.docx
Instruction
CGHQ-3923 (01/19) State Registration Data
CGHQ-3923_01-19.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Registration Data
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
33 CFR 174.123
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CGHQ-3923 (01/19)
State Registration Data
CGHQ-3923_01-19.pdf
Yes
Yes
Fillable Printable
Instruction
1625-NEW_Instruction_r2.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Water Transportation
Privacy Act System of Records
Title:
USCG - 013 MISLE
FR Citation:
74 FR 30305
Number of Respondents:
56
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
75 %
Requested
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
56
0
0
56
0
0
Annual IC Time Burden (Hours)
42
0
0
42
0
0
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.
