MERCHANT MARINE PERSONNEL PHYSICAL EXAMINATION

ICR 198202-2115-001

OMB: 2115-0501

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
140806 Migrated
ICR Details
2115-0501 198202-2115-001
Historical Active
DOT/USCG
MERCHANT MARINE PERSONNEL PHYSICAL EXAMINATION
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/10/1982
Retrieve Notice of Action (NOA) 02/09/1982
  Inventory as of this Action Requested Previously Approved
03/31/1984 03/31/1984
23,000 0 0
23,000 0 0
0 0 0

NEEDED TO REPORT THE PHYSICAL QUALIFICATIONS OF ALL RATED (QUALIFIED) CREW MEMBERS ABOARD U.S. MERCHANT VESSELS AS WELL AS TO ENSURE SHIPBOARD HEALTH STANDARDS AS FOOD HANDLERS MUST BE FREE OF COMMUNICABLE DISEASE. 46 USC 672(A),(E),(F) & (G).

None
None


No

1
IC Title Form No. Form Name
MERCHANT MARINE PERSONNEL PHYSICAL EXAMINATION CG-719K

  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 23,000 0 0 0 23,000 0
Annual Time Burden (Hours) 23,000 0 0 0 23,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
02/09/1982


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