1625-0045 Calc-Sheet

1625-0045
Appendix A: Total Estimated Annual Burden on Industry
Distinct Respondents:

1,004 (997 + 7)

Annex I COA population:
Annex II COA population:
Annex V COA population:
Annex VI COA population:

756
139
997
100

Vessels that submit
Inadequacy Reports:

7

CG-5401X usage estimate:
of new form

85%

Reporting

Requirement

Respondents

Responses /
Responses
Respondent

Burden
Hours /
Response

Annual
Hour
Burden

Wage
Rate

Annual
Cost
Burden

Adequacy Certification
Forms (Current)
COA Applications for
Annex I (CG-5401A)
COA Applications for
Annex II (CG-5401B)
COA Applications for
Annex V (CG-5401C)
COA Applications for
Annex VI (CG-5401D)

23

1

23

3

69

$74

$5,106

4

1

4

3

12

$74

$888

3

1

3

0.75

3

$74

$222

3

1

3

0.5

2

$74

$148

129

1

129

2.5

323

$74

$23,902

24

1

24

2.0

48

$74

$3,552

18

1

18

1.0

18

$74

$1,332

17

1

17

1.2

21

$74

$1,554

160
50
10
997
7

1
1
1
12
1

160
50
10
11,964
7

2
1
10
0.25
0.75

320
50
100
2,991
6

$74
$74
$74
$93
$71

$23,680
$3,700
$7,400
$278,163
$426

Form (New-Consolidated)
COA Applications for
Annex I (CG-5401X,
cover + sec. 1, 2 & 4)
COA Applications for
Annex II (CG-5401X,
cover + sec. 1, 3 & 4)
COA Applications for
Annex V (CG-5401X,
cover + sections 1 & 4)
COA Applications for
Annex VI (CG-5401X,
cover + sec. 1, 4 & 5)
Waivers
Notice of Change
Appeals
Advance Notice
Inadequacy Reports

12,412

Annual Totals

Total
Total Respondents

1,004

Total Responses

12,412

Total Hour Burden

3,963

Total Cost Burden

$350,073

*Estimates may not sum due to rounding

Page 1 of 2

3,963

$350,073

1625-0045
Appendix B: Estimated Annual Federal Government Cost

Category
COA Applications for
Annex I (CG-5401A)
COA Applications for
Annex II (CG-5401B)
COA Applications for
Annex V (CG-5401C)

Responses

Hours /
Annual Hours
Responses

Wage Rate

Annual Cost

152

4

608

$78

$47,424

28

4

112

$78

$8,736

21

4

84

$78

$6,552

COA Applications for
Annex VI (CG-5401D)

20

4

80

$78

$6,240

Waivers
Notice of Change
Appeals

160
50
10

4
1
4

640
50
40

$78
$78
$78

$49,920
$3,900
$3,120

7

4

28

$78

$2,184

Inadequacy Reports
Total

$128,076

Total
Total Cost

$128,076

*Estimates may not sum due to rounding

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