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Report Of Marine Accident, Injury Or Death (cg-2692) With Barge Addendum (cg-2692a)
REPORT OF MARINE ACCIDENT, INJURY OR DEATH (CG-2692) WITH BARGE ADDENDUM (CG-2692A)
OMB: 2115-0003
IC ID: 140349
OMB.report
DOT/USCG
OMB 2115-0003
ICR 198307-2115-002
IC 140349
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2115-0003 can be found here:
2001-12-13 - Extension without change of a currently approved collection
2001-05-04 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
REPORT OF MARINE ACCIDENT, INJURY OR DEATH (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
Form
CG-2692A
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
6,110
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
6,110
0
0
0
0
6,110
Annual IC Time Burden (Hours)
6,110
0
0
0
0
6,110
Annual IC Cost Burden (Dollars)
0
0
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.