Information Collection

Simplified Measurement System

IC 20485 under ICR 202410-1625-004 · OMB 1625-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-5397 (10/17) Simplified Measurement System	Form and Instruction
Form CG-5397 (10/17) Application for Simplified Measurement Simplified Measurement System	Form and Instruction
1625-0022_Inst_r6_2024-msc.docx	Instruction
1625-0022_Inst_r6_2024-msc.docx	Instruction
CG-5397 (10/17) Application for Simplified Measurement CG-5397_10-17.pdf www.uscg.mil/forms	Form and Instruction
CG-5397 (10/17) Application for Simplified Measurement CG-5397_10-17.pdf www.uscg.mil/forms	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 69.205

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 and Instruction	CG-5397 (10/17)			http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction					Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18,366

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18,366	11,564	6,802
Annual IC Time Burden (Hours)	36,732	23,128	13,604
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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