Information Collection

Application and Permit to Handle Hazardous Material (Management, Clerical, and Recordkeeping)

IC 20449 under ICR 202204-1625-017 · OMB 1625-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0005_Inst_r3_2021-fac.docx	Instruction
1625-0005_Inst_r3_2021-fac.docx	Instruction
CG-4260 (01/18) Application and Permit to Handle Hazardous Materials CG-4260_12-19.pdf www.uscg.mil/forms	Form and Instruction
CG-4260 (01/18) Application and Permit to Handle Hazardous Materials CG-4260_12-19.pdf www.uscg.mil/forms	Form and Instruction

IC Title:

Application and Permit to Handle Hazardous Material (Management, Clerical, and Recordkeeping)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 176.100 33 CFR 126.17 49 CFR 176.415

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0005_Inst_r3_2021-fac.docx		Yes	Yes	Printable Only
Form and Instruction	CG-4260 (01/18)	Application and Permit to Handle Hazardous Materials	CG-4260_12-19.pdf	http://www.uscg.mil/forms	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: 440

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	440	160	280
Annual IC Time Burden (Hours)	484	176	308
Annual IC Cost Burden (Dollars)	0	0	0

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.