Application and Permit to Handle Hazardous Material

Forms and Documents

Document Name	Status
Form CG-4260 Application and Permit to Handle Hazardous Material (Management, Clerical, and Recordkeeping) Form	Modified
1625-0005_60 Day Federal Register Notice(2).doc Supplementary Document	2015-01-13
1625-0005_StatA.pdf Supplementary Document	2014-08-20
1625-0005 60-Day Federal Register Notice.doc Supplementary Document	2014-08-20
1625-0005_SS_r0_2014.doc Supporting Statement A	2015-01-13

IC Document Collections

IC ID	Document Title	Status
20449	Application and Permit to Handle Hazardous Material (Management, Clerical, and Recordkeeping) Form	Modified
184584	Permit Applications - Clerical Instruction	Removed
184139	Recordkeeping Instruction	Removed

ICR Details

OMB Control No: 1625-0005	ICR Reference No: 201406-1625-002
Status: Historical Active	Previous ICR Reference No: 201105-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Application and Permit to Handle Hazardous Material
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/25/2015
	Date Received in OIRA: 01/28/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	36 Months From Approved
Responses	165	0	0
Time Burden (Hours)	182	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This information sought here ensures the safe handling of explosives and other hazardous materials around port and aboard vessels. Shipping agents and terminal operators who handle the above commodities must comply.

---

Authorizing Statute(s): US Code: 33 USC 1225 Name of Law: Navigation and Navigable Waters
  

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:
	79 FR 33572	06/11/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 60484	10/07/2014
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
Recordkeeping
Permit Applications - Clerical
Application and Permit to Handle Hazardous Material (Management, Clerical, and Recordkeeping)	CG-4260	Application and Permit to Handle Hazardous Materials

---

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	165	0	0	0	-21	186
Annual Time Burden (Hours)	182	0	0	0	-23	205
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 (i.e., decrease) in burden is an ADJUSTMENT due to a decrease in the estimated number of responses. There is no change to the reporting and recordkeeping requirements of this collection. The reporting and recordkeeping requirements and the methodology for calculation burden remain unchanged.

---

Annual Cost to Federal Government: $15,111

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: 01/28/2015

---