Coast Guard Boating Accident Report Form (CG-3865)

OMB Control No: 1625-0003	ICR Reference No: 201201-1625-006
Status: Historical Active	Previous ICR Reference No: 201106-1625-003
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Coast Guard Boating Accident Report Form (CG-3865)
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: 12/02/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/04/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved	09/30/2014
Responses	5,094	0	5,000
Time Burden (Hours)	2,970	0	2,500
Cost Burden (Dollars)	2,241	0	2,200

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Abstract: This report is submitted by State reporting authorities to the USCG. Data collected from these reports are used to establish USCG Marine Safety performance measures and publish statistics in accordance with Title 46 USC 6102.

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Authorizing Statute(s): US Code: 46 USC 6102 Name of Law: State marine casualty reporting system

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1625-AB45	Final or interim final rulemaking	77 FR 18689	03/28/2012

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title Form No. Form Name Coast Guard Boating Accident Report Form (CG-3865) CG-3865 Recreational Boating Accident Report

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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	5,094	5,000	0	94	0	0
Annual Time Burden (Hours)	2,970	2,500	0	470	0	0
Annual Cost Burden (Dollars)	2,241	2,200	0	41	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: First, the change (i.e., increase) in hour burden is a PROGRAM CHANGE due to the SNS-VIS-BARD rulemaking [USCG-2003-14963; RIN 1625-AB45]. The changes to the reporting requirements are as follows- • Two information elements were dropped from the current 33 CFR 173.57(w) reporting requirements. Those were "beam width at widest point" and "depth from transom to keel". It is proposed that it is no longer necessary to collect those two elements of information. • Terms found in 33 CFR 173.57(w) to describe characteristics of the boat were modified to align with the terms used in 33 CFR 187.103 "What information must be collected to identify a vessel?". • The seven terms found in 33 CFR 173.57(u) type of vessel operation were simplified to "maintaining course and speed", "changing course" or "changing speed". • The seven terms previously found in 33 CFR 173.57(u) as "type of vessel operation" were converted to "activity at time of incident", and an additional 15 descriptive terms were added. • An additional term for "engine drive type" was added. • The above changes result in a change in response time from 30-minutes to 35-minutes per report. Second, the methodology for calculating burden remains unchanged.

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Annual Cost to Federal Government: $400,000

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

Agency Contact: Susan Tomczuk 202 372-1103 [email protected]

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Common Form ICR:  No

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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: 09/04/2012

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