Information Collection

Adequacy Certification - Application for Certificate of Adequacy (COA)

IC 20537 under ICR 202408-1625-004 · OMB 1625-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-5401A (04/15) Application for Certificate of Adequacy (COA) for Reception Facilities Form A Adequacy Certification - Application for Certificate of Adequacy (COA)	Form and Instruction
Form CG-5401B (04/15) Application for Certificate of Adequacy (COA) for Reception Facilities Form B Adequacy Certification - Application for Certificate of Adequacy (COA)	Form and Instruction
Form CG-5401C (04/15) Application for a Reception Facility Certificate of Adequacy for Garbage Form C Adequacy Certification - Application for Certificate of Adequacy (COA)	Form
Form CG-5401D (04/15) Application for a Reception Facility Certificate of Adequacy for Ozone Depletion Substances and Exhaust Gas Cleaning System Residue Form D Adequacy Certification - Application for Certificate of Adequacy (COA)	Form
Form CG-5401X Certificate of Adequacy (COA) Application Adequacy Certification - Application for Certificate of Adequacy (COA)	Form
1625-0045_Inst_r6_2024-fac_new-form.docx	Instruction
1625-0045_Inst_r6_2024-fac_new-form.docx	Instruction
CG-5401A (04/15) Application for Certificate of Adequacy (COA) for Recept CG-5401A_04-15_w-exp-date.pdf www.uscg.mil/forms	Form and Instruction
CG-5401A (04/15) Application for Certificate of Adequacy (COA) for Recept CG-5401A_04-15_w-exp-date.pdf www.uscg.mil/forms	Form and Instruction
CG-5401B (04/15) Application for Certificate of Adequacy (COA) for Recept CG-5401B_04-15_w-exp-date.pdf www.uscg.mil/forms	Form and Instruction
CG-5401B (04/15) Application for Certificate of Adequacy (COA) for Recept CG-5401B_04-15_w-exp-date.pdf www.uscg.mil/forms	Form and Instruction
CG-5401C (04/15) Application for a Reception Facility Certificate of Adeq CG-5401C_04-15_w-exp-date.pdf www.uscg.mil/forms	Form
CG-5401C (04/15) Application for a Reception Facility Certificate of Adeq CG-5401C_04-15_w-exp-date.pdf www.uscg.mil/forms	Form
CG-5401D (04/15) Application for a Reception Facility Certificate of Adeq CG-5401D_04-15_w-exp-date.pdf www.uscg.mil/forms	Form
CG-5401D (04/15) Application for a Reception Facility Certificate of Adeq CG-5401D_04-15_w-exp-date.pdf www.uscg.mil/forms	Form
CG-5401X Certificate of Adequacy (COA) Application CG_5401X_Enabled_v16_04292024.pdf	Form
CG-5401X Certificate of Adequacy (COA) Application CG_5401X_Enabled_v16_04292024.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Adequacy Certification - Application for Certificate of Adequacy (COA)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 158.140

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Yes	Yes	Printable Only
Form and Instruction	CG-5401A (04/15)	http://www.uscg.mil/forms	Yes	Yes	Fillable Fileable
Form and Instruction	CG-5401B (04/15)	http://www.uscg.mil/forms	Yes	Yes	Fillable Fileable
Form	CG-5401C (04/15)	http://www.uscg.mil/forms	Yes	Yes	Fillable Fileable
Form	CG-5401D (04/15)	http://www.uscg.mil/forms	Yes	Yes	Fillable Fileable
Form	CG-5401X		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 221

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	221	-179	400
Annual IC Time Burden (Hours)	496	-204	700
Annual IC Cost Burden (Dollars)	0	0	0

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.

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