Information Collection

Financial Responsibility for Water Pollution (Vessels)

IC 41280 under ICR 202203-1625-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form CG-5586 (07/12) Financial Responsibility for Water Pollution (Vessels) Form
1625-0046_Inst_r0_2019.doc Instruction
1625-0046_Inst_r0_2019.doc Instruction
CG-5586 (07/12) Insurance Guaranty CG5586.pdf www.uscg.mil/npfc/forms.htm Form
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-5586-1 (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
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
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
CG-5586-4 (07/12) Master Financial Guaranty CG5586-4.pdf www.uscg.mil/npfc/forms.htm Form
CG-5585 (10/19) Application for Vessel Certificate of Financial Responsi CG_5585_10-19.pdf www.uscg.mil/npfc/forms.htm Form and Instruction
CG-5585 (10/19) Application for Vessel Certificate of Financial Responsi CG_5585_10-19.pdf www.uscg.mil/npfc/forms.htm Form and Instruction

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
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
Instruction			1625-0046_Inst_r0_2019.doc		Yes	Yes	Printable Only
Form and Instruction	CG-5585 (10/19)	Application for Vessel Certificate of Financial Responsibility (Water Pollution)	CG_5585_10-19.pdf	www.uscg.mil/npfc/forms.htm	Yes	No	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title: DHS/USCG 031 USCG Law Enforcement (ULE)	FR Citation: 81 FR 88697

Number of Respondents: 8,412	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 75 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,412	5,012	3,400
Annual IC Time Burden (Hours)	3,803	403	3,400
Annual IC Cost Burden (Dollars)	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.