OMB control number
Adequacy Certification for Reception Facilities and Advance Notice - 33 CFR Part 158
OMB 1625-0045 · DHS/USCG.
This information collection is needed to evaluate the adequacy of reception facilities prior to issuance of a Certificate of Adequacy. Information for the advance notice ensures effective management of reception facilities and reduces the burden to facilities and ships. Respondents are reception facilities and vessels. The statutory authority is 33 U.S. Code 1903 and 1905.
The latest form for Adequacy Certification for Reception Facilities and Advance Notice - 33 CFR Part 158 expires 2028-05-31 and can be found here.
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Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Supplementary Document |
| Revision of a currently approved collection | 2024-10-24 | ||
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Approved without change |
Extension without change of a currently approved collection | 2021-11-10 | |
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Approved without change |
Extension without change of a currently approved collection | 2018-08-31 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 2015-07-07 | |
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Approved with change |
Revision of a currently approved collection | 2011-11-23 | |
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Approved without change |
Revision of a currently approved collection | 2008-08-27 | |
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Approved without change |
Extension without change of a currently approved collection | 2005-04-25 | |
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Approved without change |
Extension without change of a currently approved collection | 2004-12-29 | |
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Approved without change |
Extension without change of a currently approved collection | 2003-03-01 |
Adequacy Certification - Application for Certificate of Adequacy (COA)
Federal Enterprise Architecture: Transportation - Water Transportation
| Form CG-5401C (04/15) | Application for a Reception Facility Certificate of Adequacy for Garbage Form C | www.uscg.mil/forms | Form |
| Form CG-5401X | Certificate of Adequacy (COA) Application | Fillable Fileable | Form |
| Form CG-5401D (04/15) | Application for a Reception Facility Certificate of Adequacy for Ozone Depletion Substances and Exhaust Gas Cleaning System Residue Form D | www.uscg.mil/forms | Form |
| Form CG-5401B (04/15) | Application for Certificate of Adequacy (COA) for Reception Facilities Form B | www.uscg.mil/forms | Form and instruction |
| Form CG-5401A (04/15) | Application for Certificate of Adequacy (COA) for Reception Facilities Form A | www.uscg.mil/forms | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.