Simplified Measurement System

Application for Tonnage Measurement of Vessels

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0022 can be found here:

Documents and Forms

Document Name Document Type
Form CG-5397 (10/17) Simplified Measurement System Form and Instruction
1625-0022_Inst_r4_2017-msc.doc Instruction
CG-5397 (10/17) Application for Simplified Measurement CG-5397_10-17.pdf www.uscg.mil/forms Form and Instruction

Information Collection (IC) Details

IC Title:	Simplified Measurement System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 69.205

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CG-5397 (10/17)	Application for Simplified Measurement	CG-5397_10-17.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0022_Inst_r4_2017-msc.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,802	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6,802	1	6,801
Annual IC Time Burden (Hours)	13,604	-1,006	14,610
Annual IC Cost Burden (Dollars)	4,081	4,081	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.