1625-0017 Calc-Sheet

1625-0017

Appendix A: Total Estimated Annual Burden on Industry
Number of respondents: 253
Certificate, Record,

Form

Frequency

Annual #

Hour Burden

Total Annual

Total Annual

or Notice

Number

of Issue

of Responses

per Document

Hour Burden

Cost Burden

CG-968

Every Year

16

0.1

1.6

$120

CG-968A

Every Year

13

0.1

1.3

$98

Exemption Certificate

CG-967

Every Year

20

0.1

2.0

$150

Notice of Completion of Exam
for Safety Cert.

CG-969

Every Year

1

0.1

0.1

$8

Cargo Ship Safety Equipment
Certificate

CG-3347

Every 5 Years

89

0.1

8.9

$668

Cargo Ship Safety Equip Cert,
Record of Equipment

CG-3347B

Every 5 Years

37

0.1

3.7

$278

Cargo Ship Safety
Construction Certificate

CG-4359

Every 5 Years

75

0.1

7.5

$563

International Ship Security
Certificate

CG-4360

Every 5 Years

149

0.1

14.9

$1,118

Interim Int'l Ship Security
Certificate

CG-4361

On Occasion

4

0.1

0.4

$30

ISM Safety Management
Certificate

CG-5643

Every 5 Years

104

0.1

10.4

$780

High Speed Craft Safety
Certificate

CG-5679

Every 5 Years

1

0.1

0.1

$8

High Speed Craft Safety
Record

CG-5679A

Every 5 Years

1

0.1

0.1

$8

Permit to Operate High Speed
Craft

CG-5680

Every 5 Years

1

0.1

0.1

$8

Continuous Synopsis Record

CG-6038

On Occasion

15

0.1

1.5

$113

Amendments to CSR & Index
of Amendments

CG-6038A

On Occasion

1

0.5

0.5

$38

Passenger Ship Safety
Certificate
Passenger Ship Safety Cert,
Record of Equipment

Document of Compliance
Polar Ship Certificate
Polar Ship Cert, Record of
Equipment

n/a

Every 5 Years

16

0.1

1.6

$120

CG-16170

Every 5 Years

0

0.1

0.0

$0

CG-16170A

Every 5 Years

0

0.1

0.0

$0

55

$4,108

TOTAL

543

Total Number of Respondents

253

Total Number of Responses

543

Total Hour Burden

55

Total Cost Burden

$4,108

Page 1 of 2

1625-0017

Appendix B: Estimated Annual Federal Government Cost
Responses
per year

Hours /
Response

Annual
Hours

Wage Rate

Certificates/Documents/Permits, etc.
reviewed & issued

543

0.5

272

$89

Annual Totals

543

Response type

Total
Total Cost

$24,208

*Estimates may not sum due to rounding

Page 2 of 2

272

Annual
Cost
$24,208
$24,208