Information Collection

Report Of Marine Accident, Injury Or Death (new Title) (cg 2692) With Barge Addendum (cg 2692a)

IC 140347 under ICR 198206-2115-002 · OMB 2115-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2115-0003 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	REPORT OF MARINE ACCIDENT, INJURY OR DEATH (NEW TITLE) (CG 2692) WITH BARGE ADDENDUM (CG 2692A)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-2692				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,431	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,431	415	1,016	5,000
Annual IC Time Burden (Hours)	6,431	1,431	3,500	1,500
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.