Navigation Center
United States Coast Guard
U.S. Department of Homeland Security

IIP Iceberg Reporting Form

Navigation Center Website Privacy Act Statement

Authority: 5 U.S.C 301; 14 U.S.C. 93(a) and (c); 14 U.S.C 632; 33 U.S.C 1223

Purpose: The Coast Guard Navigation Center will use this information to disseminate navigation safety notices and updates to individuals upon request and to receive reports of aid to navigation outages, issues or discrepancies.

Routine Uses: Coast Guard personnel will use this information to disseminate safety notices and updates and to aid in the repair or investigate reports of navigation outages, issues or discrepancies. Any external disclosures of data within this record will be made in accordance with DHS/ALL-002, Department of Homeland Security General Contact Lists, 73 Federal Register 71659, November 25, 2008, and DHS/USCG-013, Marine Information for Safety and Law Enforcement System of Records, 74 Federal Register 30305, June 25, 2009.

Disclosure: Furnishing this information is voluntary; however, failure to furnish the requested information may hinder your request for navigation safety related information.

* Denotes required fields.

CONTACT INFORMATION
SIGHTING INFORMATION

5) Date of Sighting

Enter any value from -90.000000 to +90.000000. An example is 59.123456
Enter any value from -180.000000 to +180.000000. An example is 132.123456.
9b) Specify Unit of Measurement for 9a
° T
11) Method of Sighting
ENVIRONMENTAL CONDITIONS
ICEBERG INFORMATION
16) Size of Iceberg by length (in meters)
17) Shape of iceberg
18) Sea ice concentration