OMB control number

Oil and Hazardous Material Pollution Prevention and Safety Records, Equivalents/Alternatives and Exemptions

OMB 1625-0095 · DHS/USCG.

OMB 1625-0095

This information is needed to minimize the number and impact of pollution discharges and accidents occurring during transfer of oil or hazardous materials. This information will also be used to evaluate proposed alternatives and requests for exemptions. Respondents are owners and operators of facilities and vessels.

The latest form for Oil and Hazardous Material Pollution Prevention and Safety Records, Equivalents/Alternatives and Exemptions expires 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
1625-0095 30-Day FR Notice_87FR26774_20220505_.docx Supplementary Document
1625-0095 30-Day FR Notice_87FR26774_20220505_.docx Supplementary Document
1625-0095 60-day FR Notice_87FR5830_20220202_.docx Supplementary Document
1625-0095 60-day FR Notice_87FR5830_20220202_.docx Supplementary Document
DHS-USCG-013_MISLE_SORN_2009-06-25.pdf Supplementary Document
DHS-USCG-013_MISLE_SORN_2009-06-25.pdf Supplementary Document
privacy_pia_uscg_misle_20090903.pdf Supplementary Document
privacy_pia_uscg_misle_20090903.pdf Supplementary Document
1625-0095_SS_r0_2021_calc-sheet_App_AB.pdf Supplementary Document
1625-0095_SS_r0_2021_calc-sheet_App_AB.pdf Supplementary Document
CFR-2010-title33-vol1-part3.pdf Supplementary Document
CFR-2010-title33-vol1-part3.pdf Supplementary Document
CFR-2005-title33-vol2-sec156-110.pdf Supplementary Document
CFR-2005-title33-vol2-sec156-110.pdf Supplementary Document
CFR-2005-title33-vol2-sec156-107.pdf Supplementary Document
CFR-2005-title33-vol2-sec156-107.pdf Supplementary Document
CFR-2001-title33-vol2-sec155-130.pdf Supplementary Document
CFR-2001-title33-vol2-sec155-130.pdf Supplementary Document
CFR-2001-title33-vol2-sec155-120.pdf Supplementary Document
CFR-2001-title33-vol2-sec155-120.pdf Supplementary Document
CFR-2010-title33-vol2-sec154-108.pdf Supplementary Document
CFR-2010-title33-vol2-sec154-108.pdf Supplementary Document
CFR-2010-title33-vol2-sec154-107.pdf Supplementary Document
CFR-2010-title33-vol2-sec154-107.pdf Supplementary Document
33usc1321_2019.pdf Supplementary Document
33usc1321_2019.pdf Supplementary Document
1625-0095_SS_r2_2023_clean 03242023.docx Supporting Statement A
1625-0095_SS_r0_2021.docx Supporting Statement A
Oil and Hazardous Material Pollution Prevention and Safety Records, Equivalents/Alternatives and Exemptions Instruction

All Historical Document Collections

202204-1625-010 Approved with change	Extension without change of a currently approved collection	2022-07-26
201810-1625-002 Approved without change	Extension without change of a currently approved collection	2019-01-31
201510-1625-002 Approved without change	Extension without change of a currently approved collection	2015-10-27
201205-1625-012 Approved with change	Extension without change of a currently approved collection	2012-06-18
200811-1625-004 Approved without change	Extension without change of a currently approved collection	2009-05-29
200603-1625-006 Approved with change	Extension without change of a currently approved collection	2006-03-15
200303-1625-097 Approved without change	Extension without change of a currently approved collection	2003-03-18