Simplified Measurement System

Application for Tonnage Measurement of Vessels

Documents and Forms

Document Name Document Type
Form CG-5397 (10/17) Simplified Measurement System Form and Instruction
1625-0022_Inst_r5_2021-msc.docx Instruction
1625-0022_Inst_r5_2021-msc.docx Instruction
CG-5397 (10/17) Application for Simplified Measurement CG-5397_10-17.pdf www.uscg.mil/forms Form and Instruction
CG-5397 (10/17) Application for Simplified Measurement CG-5397_10-17.pdf www.uscg.mil/forms Form and Instruction

Information Collection (IC) Details

IC Title:	Simplified Measurement System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 69.205

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CG-5397 (10/17)	Application for Simplified Measurement	CG-5397_10-17.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0022_Inst_r5_2021-msc.docx		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DHS/USCG-013 Marine Information for Safety and Law Enforcement (MISLE)	FR Citation: 74 FR 30305

Number of Respondents: 6,802	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,802	0	6,802
Annual IC Time Burden (Hours)	13,604	0	13,604
Annual IC Cost Burden (Dollars)	0	-4,081	4,081

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.