Information Collection

Oil and Hazardous Material Pollution Prevention and Safety Records, Equivalents/Alternatives and Exemptions

IC 20633 under ICR 201510-1625-002 · OMB 1625-0095.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0095 can be found here:

Documents and Forms

Document Name Document Type
1625-0095_Inst_r3_2015-cvc.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Oil and Hazardous Material Pollution Prevention and Safety Records, Equivalents/Alternatives and Exemptions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 33 CFR 154.107 33 CFR 154.108 33 CFR 155.120 33 CFR 155.130 33 CFR 156.107 33 CFR 156.110

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0095_Inst_r3_2015-cvc.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 180	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Previously Approved
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	1,440	1,440
Annual IC Cost Burden (Dollars)	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.