Information Collection

Various International Agreement Pollution Prevention Certificates and Documents, and Equivalency Certificates

IC 20526 under ICR 200804-1625-013 · OMB 1625-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0041 can be found here:

Documents and Forms

Document Name Document Type
Form CG-5352 Various International Agreement Pollution Prevention Certificates and Documents, and Equivalency Certificates Form
CG-5352 International Convention for the Preventin CG-5352.pdf This form is used by CG personnel only in the performance of their duties. Form
CG-5352A IOPP Certificate Form A CG-5352A.pdf This form is used by CG personnel only in the performance of their duties. Form
CG-5352B IOPP Certificate Form B CG-5352B.pdf This form is used by CG personnel only in the performance of their duties. Form
CG-6047 International Sewage Pollution Prevention Equivalency Ce CG-6047.pdf This form is used by CG personnel only in the performance of their duties. Form
CG-6056 International Air Pollution Prevention Certificate CG-6056.pdf This form is used by CG personnel only in the performance of their duties. Form
CG-6056A Supplement to IAPP Certificate CG-6056A.pdf This form is used by CG personnel only in the performance of their duties. Form
CG-6057 Statement of Voluntary Compliance CG-6057.pdf This form is used by CG personnel only in the performance of their duties. Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Various International Agreement Pollution Prevention Certificates and Documents, and Equivalency Certificates	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 33 CFR 151.19

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-5352	International Convention for the Preventin	CG-5352.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-5352A	IOPP Certificate Form A	CG-5352A.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-5352B	IOPP Certificate Form B	CG-5352B.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-6047	International Sewage Pollution Prevention Equivalency Certificate	CG-6047.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-6056	International Air Pollution Prevention Certificate	CG-6056.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-6056A	Supplement to IAPP Certificate	CG-6056A.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable
Form	CG-6057	Statement of Voluntary Compliance	CG-6057.pdf	This form is used by CG personnel only in the performance of their duties.	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,210	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	242	-26,836	27,078
Annual IC Time Burden (Hours)	80	-6,794	6,874
Annual IC Cost Burden (Dollars)	0	0	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.