Information Collection

NRBSS Exposure Survey

IC 274378 under ICR 202411-1625-001 · OMB 1625-0089.

Documents and Forms

Document Name Document Type
1625-0089 Instruction.docx Instruction
G339_USCG_NRBSS_Exposure Survey_v17_20250312.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRBSS Exposure Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 33 CFR 173

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0089 Instruction.docx		Yes	Yes	Printable Only
Other-Survey			G339_USCG_NRBSS_Exposure Survey_v17_20250312.docx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DHS Mailing and Other Lists System of Records	FR Citation: 73 FR 71659

Number of Respondents: 117,863	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	117,863	117,863
Annual IC Time Burden (Hours)	11,151	11,151
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.