Information Collection

CG-2554 Private Aids to Navigation Application. CG-4143 Application for Class I Private Aids to Navigation Artificial Islands/Fixed Structures

IC 20461 under ICR 202406-1625-005 · OMB 1625-0011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-2554 CG-2554 Private Aids to Navigation Application. CG-4143 Application for Class I Private Aids to Navigation Artificial Islands/Fixed Structures	Form and Instruction
1625-0011_Inst_2024.docx	Instruction
1625-0011_Inst_2024.docx	Instruction
CG-2554 Private Aids To Navigation Application CG-2554.docx	Form and Instruction
CG-2554 Private Aids To Navigation Application CG_2554 _Enabled_07022024_v2.pdf	Form and Instruction
CG-4143 Application for Class I Private Aids to Navigation on Ar CG-4143.docx	Form
CG-4143 Application for Class I Private Aids to Navigation on Ar CG_4143_Enabled_07022024_v3.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 33 CFR 66.01-5 33 CFR 67.35-1

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CG-2554	Private Aids To Navigation Application	CG_2554 _Enabled_07022024_v2.pdf	Yes	Yes	Fillable Printable
Form	CG-4143	Application for Class I Private Aids to Navigation on Artificial Islands and Fixed Structures	CG_4143_Enabled_07022024_v3.pdf	Yes	Yes	Fillable Printable
Instruction			1625-0011_Inst_2024.docx	Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title: DHS/ALL-002 Security Mailing and Other Lists System of Records

FR Citation: 73 FR 71659

Number of Respondents: 950

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 94 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	950	238	712
Annual IC Time Burden (Hours)	950	-1,186	2,136
Annual IC Cost Burden (Dollars)	34	-22	56

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.