Coast Guard Boating Accident Report Form (CG-3865)

ICR 202112-1625-002

OMB: 1625-0003

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2021-12-04
Supplementary Document
2021-12-02
Supplementary Document
2021-12-02
Supplementary Document
2021-12-02
Supporting Statement A
2021-12-09
Supplementary Document
2016-01-28
Supplementary Document
2016-01-28
Supplementary Document
2016-01-28
Supplementary Document
2016-01-28
ICR Details
1625-0003 202112-1625-002
Received in OIRA 201903-1625-002
DHS/USCG
Coast Guard Boating Accident Report Form (CG-3865)
Extension without change of a currently approved collection   No
Regular 12/09/2021
  Requested Previously Approved
36 Months From Approved 07/31/2022
5,740 5,000
10,430 2,500
280,529 2,450

This report is submitted by State reporting authorities to the USCG. Data collected from these reports are used to establish USCG Marine Safety performance measures and publish statistics in accordance with Title 46 USC 6102.

US Code: 46 USC 6102 Name of Law: State marine casualty reporting system
  
None

Not associated with rulemaking

  86 FR 48434 08/30/2021
86 FR 69064 12/06/2021
No

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,740 5,000 0 0 740 0
Annual Time Burden (Hours) 10,430 2,500 0 0 7,930 0
Annual Cost Burden (Dollars) 280,529 2,450 0 0 278,079 0
No
No
There are a number of changes in the burden with respect to respondent type, number of respondents, wage calculation, and postage calculation. The previous burden only focused on the public burden, while this renewal provides burden estimates for both the public and the State. The public burden estimate reflects changes with regards to the number of respondents, wage calculation, and postage calculation. The number of respondents has been reduced from 5,000 to 700. The wage has been added, and the cost of postage has increased. The previous cost burden to the public was $2,450 which only took into account the cost of postage to mail the form; with these revisions, the cost burden to the public is $9,880.50 which takes into account a reduced number of respondents, the respondent’s cost to fill out the form, and the postage to mail the form. The Coast Guard has added an estimated burden on the State to collect information on boating accidents. The burden for the State had not been previously reported; it is $280,123.20.

$300,000
No
    Yes
    Yes
No
No
No
No
Susan Tomczuk 202 372-1103 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/09/2021


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