Information Collection

Simplified Measurement System

IC 20485 under ICR 202410-1625-004 · OMB 1625-0022.

Documents and Forms

Document Name Document Type
Form CG-5397 (10/17) Simplified Measurement System Form and Instruction
1625-0022_Inst_r6_2024-msc.docx Instruction
CG-5397 (10/17) Application for Simplified Measurement CG-5397_10-17.pdf www.uscg.mil/forms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Simplified Measurement System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 69.205

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CG-5397 (10/17)	Application for Simplified Measurement	CG-5397_10-17.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0022_Inst_r6_2024-msc.docx		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18,366	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 1 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	18,366	11,564	6,802
Annual IC Time Burden (Hours)	36,732	23,128	13,604
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.