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Coast Guard Boating Accident Report Form (CG-3865) Public Response
Coast Guard Boating Accident Report Form (CG-3865)
OMB: 1625-0003
IC ID: 250744
OMB.report
DHS/USCG
OMB 1625-0003
ICR 202112-1625-002
IC 250744
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Coast Guard Boating Accident Report Form (CG-3865) Public Response
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
700
0
0
700
0
0
Annual IC Time Burden (Hours)
350
0
0
350
0
0
Annual IC Cost Burden (Dollars)
406
0
0
406
0
0
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.