Application for Vessel Inspection, Waiver and Continuous Synopsis Record

Forms and Documents

Document Name	Status
Form CG-3752 Application for Inspection of U.S. Vessel Form	Modified
Form CG-6039 Application for Continuous Synopsis Record Form and Instruction	Removed
Form CG-2633 Application for Waiver and Waiver Order Form	Removed
1625-0002_SS_r0_2013_calc-sheet-App-A-to-B.pdf Supplementary Document	2014-04-15
1625-0002_StatA.pdf Supplementary Document	2014-04-15
1625-0002 30_Day FR Notice.doc Supplementary Document	2014-04-15
1625-0002 60-Day FR Notice.doc Supplementary Document	2014-04-15
1625-0002_SS_r0_2013.doc Supporting Statement A	2014-04-15

IC Document Collections

IC ID	Document Title	Status
20442	Application for Inspection of U.S. Vessel Form	Modified
182241	Application for Continuous Synopsis Record Form and Instruction	Removed
182237	Application for Waiver and Waiver Order Form	Removed

ICR Details

OMB Control No: 1625-0002	ICR Reference No: 201404-1625-002
Status: Historical Active	Previous ICR Reference No: 200904-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Application for Vessel Inspection, Waiver and Continuous Synopsis Record
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/23/2014
	Date Received in OIRA: 04/30/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2017	36 Months From Approved	06/30/2014
Responses	4,665	0	5,176
Time Burden (Hours)	1,172	0	1,315
Cost Burden (Dollars)	0	0	0

---

Abstract: The collection of information required the owner, operator, agent, or master of a vessel to apply in writing to the Coast Guard before the commencement of an inspection for certification, when a waiver is desired from the requirements of navigation and vessel inspection, or to request a Continuous Synopsis Record.

---

Authorizing Statute(s): US Code: 46 USC 3306 Name of Law: Shipping
   US Code: 33 USC 1231 Name of Law: Navigation and Navigable Waters
   US Code: 46 USC 3309 Name of Law: Shipping
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 77694	12/24/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 21254	04/15/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for Inspection of U.S. Vessel	CG-2633, CG-3752, CG-3752A, CG-6039	Application for Inspection of U.S. Vessel ,   Application for Inspection of U.S. Vessel (New Construction) ,   Application For Waiver and Waiver Order ,   Application for Continuous Synopsis Record
Application for Continuous Synopsis Record	CG-6039	Application for Continuous Synopsis Record
Application for Waiver and Waiver Order	CG-2633	Application for Waiver and Waiver Order

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,665	5,176	0	0	-511	0
Annual Time Burden (Hours)	1,172	1,315	0	0	-143	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in burden (i.e., decrease) is an ADJUSTMENT due to a decrease in the estimated annual number of respondents.

---

Annual Cost to Federal Government: $65,214

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/30/2014

---