Flag State documents

Various International Agreement Pollution Prevention Certificates and Documents, and Equivalency Certificates

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0041 can be found here:

Documents and Forms

Document Name Document Type
1625-0041_Inst_r4_2019-cvc.doc Instruction

Information Collection (IC) Details

IC Title:	Flag State documents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 159

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0041_Inst_r4_2019-cvc.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 582	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	582	-585	1,167
Annual IC Time Burden (Hours)	59	-141	200
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.