Information Collection

Financial Responsibility for Water Pollution (Vessels)

IC 41280 under ICR 201510-1625-009 · OMB 1625-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0046 can be found here:

Documents and Forms

Document Name Document Type
1625-0046_Inst_r0_2015.doc Instruction
CG-5585 (07/12) Application for Vessel Certificate of Financial Responsi CG5585.pdf www.uscg.mil/npfc/forms.htm Form and Instruction
CG-5586 (07/12) Insurance Guaranty CG5586.pdf www.uscg.mil/npfc/forms.htm Form
CG-5586-1 (07/12) Master Insurance Guaranty CG5586-1.pdf www.uscg.mil/npfc/forms.htm Form
CG-5586-2 (07/12) Surety Bond Guaranty CG5586-2.pdf www.uscg.mil/npfc/forms.htm Form
G-5586-3 (07/12) Financial Guaranty CG5586-3.pdf www.uscg.mil/npfc/forms.htm Form
CG-5586-4 (07/12) Master Financial Guaranty CG5586-4.pdf www.uscg.mil/npfc/forms.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Financial Responsibility for Water Pollution (Vessels)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 33 CFR Part 138.80 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0046_Inst_r0_2015.doc		Yes	Yes	Printable Only
Form and Instruction	CG-5585 (07/12)	Application for Vessel Certificate of Financial Responsibility (Water Pollution)	CG5585.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	CG-5586 (07/12)	Insurance Guaranty	CG5586.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	CG-5586-1 (07/12)	Master Insurance Guaranty	CG5586-1.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	CG-5586-2 (07/12)	Surety Bond Guaranty	CG5586-2.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	G-5586-3 (07/12)	Financial Guaranty	CG5586-3.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable
Form	CG-5586-4 (07/12)	Master Financial Guaranty	CG5586-4.pdf	www.uscg.mil/npfc/forms.htm	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,400	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	3,400	3,400
Annual IC Time Burden (Hours)	3,400	3,400
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.