Coast Guard Boating Accident Report Form (CG-3865)

OMB 1625-0003

This report is submitted by State reporting authorities to the USCG. Data collected from these reports are used to establish USCG Marine Safety performance measures and publish statistics in accordance with Title 46 USC 6102.

The latest form for Coast Guard Boating Accident Report Form (CG-3865) expires 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
1625-0003 30-day FR Notice_86FR69064_20211206_.docx Supplementary Document
1625-0003 60-day FR Notice_86FR48434_20210830_.docx Supplementary Document
1625-0003 Privacy_PIA_20091112_USCG_BoatingAccidentReportDatabase (1).pdf Supplementary Document
DHS-USCG-013_MISLE_SORN_2009-06-25.pdf Supplementary Document
1625-0003 Supporting Statement_v3.docx Supporting Statement A
CFR-2010-title33-vol2-part174.pdf Supplementary Document
CFR-2010-title33-vol2-sec173-55.pdf Supplementary Document
CFR-2001-title33-vol2-part173.pdf Supplementary Document
USCODE-2011-title46-subtitleII-partD-chap61-sec6102.pdf Supplementary Document
Coast Guard Boating Accident Report Form (CG-3865) Public Response Instruction
Coast Guard Boating Accident Report Form (CG-3865) State Response Other-BARD Screenshot

All Historical Document Collections

202112-1625-002 Approved with change	Extension without change of a currently approved collection	2021-12-09
201903-1625-002 Approved with change	Extension without change of a currently approved collection	2019-03-28
201601-1625-010 Approved without change	Extension without change of a currently approved collection	2016-01-29
201512-1625-004 Improperly submitted and continue	Extension without change of a currently approved collection	2015-12-31
201201-1625-006 Approved without change	Revision of a currently approved collection	2012-09-04
201106-1625-003 Approved with change	Revision of a currently approved collection	2011-07-11
200801-1625-008 Approved without change	Revision of a currently approved collection	2008-03-21
200612-1625-008 Approved with change	Revision of a currently approved collection	2006-12-28
200308-1625-001 Approved without change	Reinstatement without change of a previously approved collection	2003-08-06
200303-1625-005 Approved without change	Extension without change of a currently approved collection	2003-03-01