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U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD CG-6025A (05/03)

VULNERABILITY AND SECURITY MEASURES ADDENDUM

OMB APPROVAL NO. 1625-0077

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: Commandant (G-MP), U.S. Coast Guard, 2100 2nd St, SW, Washington D.C. 20593-0001 or Office of Management and Budget, Paperwork Reduction Project (1625-0077), Washington, DC 20503. This form may only be used in addition to form CG-6025, never alone.
NAME OF FACILITY (Use same Name as Block 1., of CG-6025) 7a. Vulnerability 7b. Vulnerability Category

If other, explain
8a. Selected Security Measures (MARSEC Level 1) 8b. Security Measures Category

If other, explain
9a. Selected Security Measures (MARSEC Level 2) 9b. Security Measures Category

If other, explain
10a. Selected Security Measures (MARSEC Level 3) 10b. Security Measures Category

If other, explain
7a. Vulnerability 7b. Vulnerability Category

If other, explain
8a. Selected Security Measures (MARSEC Level 1) 8b. Security Measures Category

c d e f g
9a. Selected Security Measures (MARSEC Level 2)

If other, explain

9b. Security Measures Category

c d e f g
10a. Selected Security Measures (MARSEC Level 3)

If other, explain

10b. Security Measures Category

c d e f g
7a. Vulnerability

If other, explain

7b. Vulnerability Category

c d e f g
8a. Selected Security Measures (MARSEC Level 1)

If other, explain

8b. Security Measures Category

c d e f g
9a. Selected Security Measures (MARSEC Level 2)

If other, explain

9b. Security Measures Category

c d e f g
10a. Selected Security Measures (MARSEC Level 3)

If other, explain

10b. Security Measures Category

c d e f

If other, explain

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