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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Financial Responsibility for Water Pollution (Vessels)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
33 CFR Part 138.80 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CG-5586 (07/12)
Insurance Guaranty
CG5586.pdf
www.uscg.mil/npfc/forms.htm
Yes
Yes
Fillable Fileable
Form
CG-5586-1 (07/12)
Master Insurance Guaranty
CG5586-1.pdf
www.uscg.mil/npfc/forms.htm
Yes
Yes
Fillable Fileable
Form
CG-5586-2 (07/12)
Surety Bond Guaranty
CG5586-2.pdf
www.uscg.mil/npfc/forms.htm
Yes
Yes
Fillable Fileable
Form
G-5586-3 (07/12)
Financial Guaranty
CG5586-3.pdf
www.uscg.mil/npfc/forms.htm
Yes
Yes
Fillable Fileable
Form
CG-5586-4 (07/12)
Master Financial Guaranty
CG5586-4.pdf
www.uscg.mil/npfc/forms.htm
Yes
Yes
Fillable Fileable
Instruction
1625-0046_Inst_r0_2019.doc
Yes
Yes
Printable Only
Form and Instruction
CG-5585 (10/19)
Application for Vessel Certificate of Financial Responsibility (Water Pollution)
CG_5585_10-19.pdf
www.uscg.mil/npfc/forms.htm
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Environmental Management
Subfunction:
Pollution Prevention and Control
Privacy Act System of Records
Title:
DHS/USCG 031 USCG Law Enforcement (ULE)
FR Citation:
81 FR 88697
Number of Respondents:
3,400
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
75 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,400
0
0
0
3,400
0
Annual IC Time Burden (Hours)
3,400
0
0
0
3,400
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.