Information Collection Request

Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical

ICR 200909-1625-001 · OMB 1625-0040 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form CG-719K Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical Form Modified Available
1625-0040_OMB-83C_Combined.pdf Justification for No Material/Nonsubstantive Change Uploaded 2009-11-04 Available
1625-0040 Narrative of Changes.doc Supplementary Document Uploaded 2009-10-26 Repair queued
1625-0040_COI_SUPPORTING_STATEMENT 061609.doc Supporting Statement A Uploaded 2009-06-17 Available
1625-0040 46 USC 7302.pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr10.202[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr10.209[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr10.207[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr12.15-5[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr10.205[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr12.02-9[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr10.211[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr12.02-17[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 46cfr12.05-5[1].pdf Supplementary Document Uploaded 2009-03-17 Available
1625-0040 30-day FRN.doc Supplementary Document Uploaded 2009-03-17 Repair queued
1625-0040 60-day FRN.doc Supplementary Document Uploaded 2009-03-17 Available
ICR Details
1625-0040 200909-1625-001
Historical Inactive 200803-1625-010
DHS/USCG
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
No material or nonsubstantive change to a currently approved collection   No
Regular
Withdrawn and continue 12/24/2009
Retrieve Notice of Action (NOA) 11/04/2009
  Inventory as of this Action Requested Previously Approved
06/30/2012 06/30/2012 06/30/2012
65,299 0 65,299
10,885 0 10,885
0 0 0

IAW Title 46, US Code & Title 46, CFR the collection of this information is necessary to determine competency, character & physical qualifications for the issuance of USCG licenses, certificates of registry & merchant mariner documents.

None
None

Not associated with rulemaking

  73 FR 54842 09/23/2008
74 FR 9421 03/04/2009
No

No
No
The changed is due to an ADJUSTMENT to our program. Previous estimations in burden hours were an overestimate which erroneously considered travel time to and from Regional Exam Centers. Written applications may be mailed, and do not require travel time.

$0
No
No
Uncollected
Uncollected
No
Uncollected
Ian Bird 2023721208

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/04/2009