Cg 4423 Form PDF Details

Coordinating marine events requires thorough planning and strict adherence to safety and regulatory requirements, a crucial part of which involves completing the Department of Homeland Security's CG-4423 form. This form serves as an application for marine events, demanding detailed information about the nature of the event, including the name and date of the event, location, the time it begins and ends, and specifics about the sponsoring organization. The CG-4423 form mandates applicants to provide a comprehensive outline of their event, covering aspects from the number of participants and types of boats involved to the potential hazards the event might introduce. Additionally, it probes whether the event could impede the natural flow of traffic on the waterways. Applicants must also detail the safety measures in place, including the number and type of vessels provided for safety and whether additional Coast Guard or Coast Guard Auxiliary patrols are requested. With a clear purpose to ascertain whether an event poses any unusual hazards to safety and to determine the conditions under which it may proceed, the form is an instrumental step in obtaining the necessary approval for marine events on the navigable waters of the United States. Compliance with the form's requirements, including submission deadlines—at least 135 days prior to the event—is essential for securing authorization. Moreover, it embodies an adherence to the Privacy Act, ensuring the responsible handling of personal information submitted through the form. Therefore, potential organizers must understand the significance of the CG-4423 form in the broader context of marine event planning, recognizing its role in promoting safety and compliance with national standards.

QuestionAnswer
Form NameCg 4423 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesname briefly uscg search, event briefly cg printable, marine event, form 4423

Form Preview Example

DEPARTMENT OF HOMELAND SECURITY

 

 

APPLICATION FOR MARINE EVENT

 

 

OMB Number: 1625-0008

 

 

 

 

 

 

 

 

Expires: 09/30/2017

Date Submitted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORM INSTRUCTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Please, complete on a computer, a typewriter, or print in black ink to permit reproduction.

You may also submit online at: http://homeport.uscg.mil.

 

 

 

 

 

 

 

 

 

2.

This application must reach the appropriate USCG Sector at least 135 days prior to the event.

A list of sectors may be found here: http://www.uscg.mil/top/units/.

 

3.

Attach a section of a chart or a scale drawing showing boundaries and/or courses and markers contemplated.

 

 

 

 

 

 

4.

Submit a copy of your entry requirements and any special rules pertaining to equipment, rigs, or procedures.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Name of Event

 

2.

Date of Event

 

 

 

 

 

 

 

 

 

3.

Location of Event

 

 

 

4.

Time: From ____________ To __________

 

 

 

 

 

 

 

5.

Name and Address of Sponsoring Organization (Include Zip Code)

6.

No. of Participants

7.

Sizes of Boats

 

 

 

 

 

 

8.

Types of Boats

 

 

9.

No. of Spectator Craft

 

 

 

 

 

 

 

 

10.

Description of Events

 

 

 

 

 

 

11.

Will This Event Interfere or Impede the Natural Flow of Traffic? _____ NO ______ YES

 

11a. If YES, briefly explain:

 

 

12.

What Extra or Unusual Hazard (to participants or non-participants) Will Be Introduced Into the Regatta Area?

 

 

CG-4423 (09/14)

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13.

Have any Objections Been Received from Other Interested Parties? _____

NO

_____ YES

 

 

 

 

 

 

 

 

13a. If YES, briefly explain:

 

 

 

 

 

 

 

 

 

 

 

 

14.

Vessels Provided by Sponsoring Organization for Safety Purposes (number and description)

 

 

 

 

 

 

 

15.

Does the Sponsoring Organization Deem their Patrol Adequate for Safety Purposes?

_____ NO _____ YES

 

 

 

 

 

 

 

 

15a. If NO, briefly explain:

 

 

 

 

 

 

 

 

 

 

 

 

16.

Is a Coast Guard or Coast Guard Auxiliary Patrol Requested for Control of Spectator and/or Commercial Traffic? _____ NO _____ YES

 

 

 

 

 

 

 

 

16a. If YES, how many vessels do you recommend and why?

 

 

 

 

 

 

 

 

 

 

 

 

17.

Person In Charge

 

18. Where Will ‘Person In Charge’ be During the Event?

 

 

 

 

 

 

 

 

 

 

19.

How Can ‘Person In Charge’ be Contacted During the Event?

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Person to be Contacted for Further Details (Name, Address, Zip Code)

 

20a.

Area Code and Phone No.:

 

 

 

 

 

 

 

 

 

 

 

 

20b.

Email Address:

 

 

 

 

 

 

The undersigned has full authority to represent the sponsoring organization.

 

 

 

 

 

21.

Name:

 

 

22.

Title:

 

 

 

 

 

 

23.

Address (Include Zip Code)

 

 

23a.

Area Code and Phone No.:

 

 

 

 

 

 

 

 

 

 

 

 

23b.

Email Address:

 

 

 

 

 

 

 

 

24.

Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIVACY ACT STATEMENT

 

 

 

 

 

 

 

 

 

Privacy Act Notice

Authority: 33 U.S.C. §1233 authorizes the collection of this information.

Purpose: The Coast Guard will use this information to determine whether an event poses an extra or unusual hazard to the safety of life and whether or not, and under which conditions, to permit the event on the navigable waters of the United States.

Routine Uses: The information will be used by and disclosed to Coast Guard personnel to evaluate the request. Additionally, the Coast Guard may share the information with facility operators, law enforcement or other government agencies as necessary to promote public safety during the requested marine event. Disclosure: Furnishing this information is voluntary; however, failure to furnish the requested information may delay or prevent the approval of the requested marine event.

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The Coast Guard estimates that the average burden for this report is 60 minutes. You may submit any comments concerning the accuracy of this burden estimate or any suggestions for reducing the burden to: United States Coast Guard, Commandant (WWM-1) Stop 7509, 2703 Martin Luther King Jr. Ave SE, Washington, DC, 20593-7509 or Office of Management and Budget, Paperwork Reduction Project (1625-0008), Washington, DC 20503.

CG-4423 (09/14)

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