Information Collection

Coast Guard Boating Accident Report Form (CG-3865) State Response

IC 20444 under ICR 202602-1625-001 · OMB 1625-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0003 BARD screenshot 20150128.doc bard.cns-inc.com/.	Other-BARD Screenshot

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 174 33 CFR 173.55 33 CFR 173

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
Other-BARD Screenshot				http://bard.cns-inc.com/.	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title: United States Coast Guard--013 Marine Information for Safety and Law Enforcement

FR Citation: 74 FR 30305

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5,040	5,040
Annual IC Time Burden (Hours)	10,080	10,080
Annual IC Cost Burden (Dollars)	280,123	280,123

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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