OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201209-1625-003 · OMB 1625-0040 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CG-719B Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical Form and Instruction Modified Repair queued
Merchant Mariner Credential_CG 4610.pdf Supplementary Document Uploaded 2012-09-21 Available
1625-0040_NoR_12Sep12 OMB Comments.docx Supplementary Document Uploaded 2012-12-05 Available
30 Day Federal Register.docx Supplementary Document Uploaded 2012-09-21 Available
60 Day Federal Register.doc Supplementary Document Uploaded 2012-09-21 Available
DHS-USCG 030 SORN.doc Supplementary Document Uploaded 2010-02-02 Available
1625-0040_COI_SupportingStatement_12Sep12 .docx Supporting Statement A Uploaded 2012-12-05 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 Repair queued
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
IC Document Collections
IC IDCollectionTypeStatusForm
43932 Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical Form and Instruction Modified
ICR Details
1625-0040 201209-1625-003
Historical Active 201002-1625-001
DHS/USCG
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
Revision of a currently approved collection   No
Regular
Approved with change 01/03/2013
Retrieve Notice of Action (NOA) 09/28/2012
USCG should continue working to maximize the ability of submitters to submit electronically.
  Inventory as of this Action Requested Previously Approved
01/31/2016 36 Months From Approved 01/31/2013
56,500 0 65,299
44,258 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
  77 FR 17081 03/23/2012
77 FR 35701 06/14/2012
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 56,500 65,299 0 0 -8,799 0
Annual Time Burden (Hours) 44,258 10,885 0 0 33,373 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There are no program changes associated with this collection renewal; however, there is an adjustment (decrease) in the respondent's burden as a result of changes to the forms. Changes are not associated with new statutory or regulatory authority, but rather improvements to the flow and quality of content, user functionality, and to aid the USCG in processing forms. The adjustment in respondent's burden is a reduction of one minute for the CG-719B and a reduction of two minutes for the CG-719K or CG-719K/E.
$14,729,656
No
No
No
No
No
Uncollected
Jesse Garrant 304 433-3472 [email protected]
  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.
09/28/2012