Information Collection

Notification of Lost or Jettisoned Cargo

IC 213511 under ICR 201601-1625-005 · OMB 1625-0122.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0122 can be found here:

Documents and Forms

Document Name Document Type
1625-0122_Inst_r1_2016_csm-ir.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notification of Lost or Jettisoned Cargo	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 33 CFR 97.115 33 CFR 160.215

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0122_Inst_r1_2016_csm-ir.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	1	1
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.