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OMB Control No: 1625-0003	ICR Reference No: 202602-1625-001
Status: Received in OIRA	Previous ICR Reference No: 202112-1625-002
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Coast Guard Boating Accident Report Form (CG-3865)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 08/14/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	5,740	0
Time Burden (Hours)	10,430	0
Cost Burden (Dollars)	280,529	0

Annual Cost to Federal Government: $29,433

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Susan Tomczuk 202 372-1103 Susan.M.Tomczuk@uscg.mil

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