1625-0015 OMB 83-c

1625-0015_OMB-83-C_2024_signed.pdf

Bridge Permit Application Guide (BPAG)

1625-0015 OMB 83-C

OMB: 1625-0015

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PAPERWORK REDUCTION ACT
CHANGE WORKSHEET
Agency/Subagency

OMB control number

Department of Homeland Security/United States Coast Guard

1

6

2

5

0

0

1

5

Enter only items that change
Current record
New record
Agency form number(s)

Coast Guard Bridge Permit Application Coast Guard Bridge Permit
Guide, COMDTPUB P16591.3C
Application Guide, COMDTPUB
P16591.3D
Annual reporting and recordkeeping hour
burden
Number of respondents

104

104

Total annual responses

104

104

100 %

100 %

Percent of these responses
collected electronically
Total annual hours

3,435

3,435

Difference

0

Explanation of difference
Program change

0

Adjustment

0

Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs

0.00

0.00

Total annual costs (O&M)

0.00

0.00

Total annualized cost requested

0.00

0.00

Difference

0.00

Explanation of difference
Program change

0.00

Adjustment

0.00

Other changes**
The Bridge Permit Application Template was removed and is now appendix B. Additional appendices were added for the Plan Sheet Job Aid,
Lighting Guide, and additional plan sheet samples added. The application was updated, simplifying documentation and providing more clarity.
Signature of Senior Official or designee:

DUNN.BRIAN.L.11730
33954

Digitally signed by
DUNN.BRIAN.L.1173033954
Date: 2024.05.09 08:44:30 -04'00'

**This form cannot be used to extend an expiration date.
OMB FORM 83-C, 10/95

Date:

For OIRA Use

5/9/2024

Adobe Professional 7.0


File Typeapplication/pdf
File Title1625-0015_OMB-83-C_2024.pdf
AuthorScholzen, Jamie L CIV USCG COMDT (USA)
File Modified2024-05-09
File Created2024-05-09

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