1625-0017 SS r0 2020 calc-sheet-App-A-to-B

1625-0017

Appendix A: Total Estimated Annual Burden on Industry
Number of respondents: 311
Certificate, Record,

Form

Frequency

Annual #

Hour Burden

Total Annual

Total Annual

or Notice

Number

of Issue

of Responses

per Document

Hour Burden

Cost Burden

CG-968

Every Year

32

0.1

3.2

$93

CG-968A

Every Year

28

0.1

2.8

$81

Exemption Certificate

CG-967

Every Year

37

0.1

3.7

$107

Notice of Completion of Exam
for Safety Cert.

CG-969

Every Year

2

0.1

0.2

$6

Cargo Ship Safety Equipment
Certificate

CG-3347

Every 5 Years

100

0.1

10.0

$290

Cargo Ship Safety Equip Cert,
Record of Equipment

CG-3347B

Every 5 Years

40

0.1

4.0

$116

Cargo Ship Safety
Construction Certificate

CG-4359

Every 5 Years

83

0.1

8.3

$241

International Ship Security
Certificate

CG-4360

Every 5 Years

160

0.1

16.0

$464

Interim Int'l Ship Security
Certificate

CG-4361

On Occasion

8

0.1

0.8

$23

ISM Safety Management
Certificate

CG-5643

Every 5 Years

125

0.1

12.5

$363

High Speed Craft Safety
Certificate

CG-5679

Every 5 Years

1

0.1

0.1

$3

High Speed Craft Safety
Record

CG-5679A

Every 5 Years

1

0.1

0.1

$3

Permit to Operate High Speed
Craft

CG-5680

Every 5 Years

1

0.1

0.1

$3

Continuous Synopsis Record

CG-6038

On Occasion

28

0.1

2.8

$81

Amendments to CSR & Index
of Amendments

CG-6038A

On Occasion

4

0.5

2.0

$58

Passenger Ship Safety
Certificate
Passenger Ship Safety Cert,
Record of Equipment

Document of Compliance
Polar Ship Certificate
Polar Ship Cert, Record of
Equipment

n/a

Every 5 Years

25

0.1

2.5

$73

CG-16170

Every 5 Years

0

0.1

0.0

$0

CG-16170A

Every 5 Years

0

0.1

0.0

$0

69

$2,005

TOTAL

675

Total Number of Respondents

311

Total Number of Responses

675

Total Hour Burden

69

Total Cost Burden

$2,005

Page 1 of 2

1625-0017

Appendix B: Estimated Annual Federal Government Cost
Responses
per year

Hours /
Response

Annual
Hours

Wage Rate

Certificates/Documents/Permits, etc.
reviewed & issued

675

0.5

338

$84

Annual Totals

675

Response type

Total
Total Cost

$28,392

*Estimates may not sum due to rounding

Page 2 of 2

338

Annual
Cost
$28,392
$28,392