Defect/Noncompliance Report and Campaign Update Report

Documents and Forms

Document Name Document Type
Form CG-4917 (10/15) Defect/Noncompliance Report and Campaign Update Report Form
1625-0010.Inst (2022) +.docx Instruction
CG-4917 (10/15) Defect/Noncompliance Report CG4917.pdf www.uscg.mil/forms Form
CG-4918 (10/15) Campaign Update Report CG4918.pdf www.uscg.mil/forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Defect/Noncompliance Report and Campaign Update Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 179.03 33 CFR 179.13 33 CFR 179.15 46 CFR 160.076

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-4917 (10/15)	Defect/Noncompliance Report	CG4917.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	CG-4918 (10/15)	Campaign Update Report	CG4918.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0010.Inst (2022) +.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: 36	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	144	-4	148
Annual IC Time Burden (Hours)	144	-4	148
Annual IC Cost Burden (Dollars)	437	-12	449

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.