Information Collection

Application and Permit to Handle Hazardous Material (Management, Clerical, and Recordkeeping)

IC 20449 under ICR 202510-1625-011 · OMB 1625-0005.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-4260 (01/18) Application and Permit to Handle Hazardous Materials Application and Permit to Handle Hazardous Material (Management, Clerical, and Recordkeeping)	Form and Instruction
1625-0005_Inst_r4_2025-fac.docx	Instruction
CG-4260 (01/18) Application and Permit to Handle Hazardous Materials CG-4260_12-19.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: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 176.100 33 CFR 126.17 49 CFR 176.415

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
Instruction					Yes	Yes	Printable Only
Form and Instruction	CG-4260 (01/18)			http://www.uscg.mil/forms	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title: DHS/USCG - 013 Marine Information for Safety and Law Enforcement (MISLE)

FR Citation: 74 FR 30305

Number of Respondents: 116

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	464	24	440
Annual IC Time Burden (Hours)	511	27	484
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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