Information Collection

US Coast Guard Application For Registration As United States Registered Pilot

IC 207901 under ICR 201709-1625-004 · OMB 1625-0086.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0086 can be found here:

Documents and Forms

Document Name Document Type
Form CG-4509 (11/13) US Coast Guard Application For Registration As United States Registered Pilot Form
1625-0086_Inst_r2_2018.doc Instruction
CG-4509 (11/13) U.S. Coast Guard Application for Registration as United CG4509_Final.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	US Coast Guard Application For Registration As United States Registered Pilot	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 46 CFR 404 46 CFR 401

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-4509 (11/13)	U.S. Coast Guard Application for Registration as United States Registered Pilot	CG4509_Final.pdf		Yes	Yes	Fillable Fileable Signable
Instruction			1625-0086_Inst_r2_2018.doc		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DHS/USCG-006; Great Lakes Registered Pilot and Applicant Pilot Eligibility	FR Citation: 79 FR 74744

Number of Respondents: 9	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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	9	0	3	6
Annual IC Time Burden (Hours)	3	2	0	1
Annual IC Cost Burden (Dollars)	0	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.