5900-458 Marine SI Vessel Worksheet

Marine SI Vessel Manufacturer Certification
Manufacturer:				Vessel Family Name:
Vessel Model	Engine Family Name	Fuel Tank EPA Family Name	Fuel Line EPA Family Name	Diurnal EPA Family Name	Manufacturer Comments
Paperwork Reduction Act Notice
The public reporting and recordkeeping burden for this collection of information is estimated to average 453.79 hours per respondent. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number 2060-0338 in any correspondence. Do not send the completed form to this address.