Information Collection

Coast Guard Boating Accident Report Form (CG-3865) Public Response

IC 250744 under ICR 202112-1625-002 · OMB 1625-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0003 Instruction.docx	Instruction
(CG-3865) Recreational Boating Accident Report Recreational Boating Accident Rreport (CG-3865).pdf	Form
CG-3865SP Recreational Boating Accident Report Recreational Boating Accident Report CG_3865SP.PDF	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0003 Instruction.docx	Yes	Yes	Fillable Printable
Form	(CG-3865)	Recreational Boating Accident Report	Recreational Boating Accident Rreport (CG-3865).pdf	Yes	Yes	Fillable Printable
Form	CG-3865SP	Recreational Boating Accident Report	Recreational Boating Accident Report CG_3865SP.PDF	Yes	Yes	Fillable Printable

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: 700

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	406	406

Documents for IC

table that charts IC Documents
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.