Application for Merchant Mariner Credential (MMC), Merchant Mariner Certificate Evaluation Report, Small Vessel Sea Service Form, DOT/USCG Periodic Drug Testing Form, Merchant Mariner Evaluation of Fi
ICR 201409-1625-011 · OMB 1625-0040 · Historical Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1625-0040 can be found here:
Application for Merchant Mariner Credential (MMC), Merchant Mariner Certificate Evaluation Report, Small Vessel Sea Service Form, DOT/USCG Periodic Drug Testing Form, Merchant Mariner Evaluation of Fi
The Department of Homeland Security's U.S. Coast Guard is reminded to comply with all public comment procedures of 5 CFR 1320 to continue to collect this information.
Inventory as of this Action
Requested
Previously Approved
01/31/2016
6 Months From Approved
01/31/2016
56,500
0
56,500
47,444
0
44,258
0
0
0
IAW Title 46 CFR Parts 10, 11, 12, 13, and 16, the collection of this information is necessary to determine competency, character & physical qualifications for the issuance of a Merchant Mariner Credential (MMC) or Medical Certificate.
This request is being submitted in association with the Final Rule,RIN 1625âAA16, Implementation of the Amendments to the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978,and Changes to National Endorsements
There is an adjustment (increase) in the respondent's burden as a result of the 12,000 respondents (CG-719K & CG-719K/E) that were not accounted for in the last Supporting Statement, but were accounted for in the table above. . The optional form CG-719C will not contribute to a burden increase because the information was required to be provided previously by the applicant in a format of their choosing attached to the application. By instituting a form this will allow faster and more consistent processing and support the future movement to a wholly electronic application system.
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.
Form CG-719B Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
Emergency Request Justification.doc
1625-0040_Supporting_Statement_r2.docx
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical