Information Collection

Defect/Noncompliance Report and Campaign Update Report

IC 20459 under ICR 202206-1625-001 · OMB 1625-0010.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.