REPORT OF MARINE ACCIDENT, INJURY OR DEATH AND BARGE ADDENDUM

ICR 198611-2115-007

OMB: 2115-0003

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2115-0003 198611-2115-007
Historical Active 198309-2115-006
DOT/USCG
REPORT OF MARINE ACCIDENT, INJURY OR DEATH AND BARGE ADDENDUM
Extension without change of a currently approved collection   No
Regular
Approved without change 02/18/1987
Retrieve Notice of Action (NOA) 11/21/1986
  Inventory as of this Action Requested Previously Approved
02/28/1990 02/28/1990 12/31/1986
6,110 0 6,110
6,110 0 6,110
0 0 0

INFORMATION NEEDED TO INFORM THE COAST GUARD THAT A VESSEL OR PERSONNEL ACCIDENT HAS OCCURRE THIS INFORMATION IS THEN USED BY THE COAST GUARD TO INITIATE AN INVESTIGATION AS REQUIRED BY 46 USC 6301. SUBMISSION BY VESSEL OWNER/OPERATOR FULFILLS REPORTING REQUIREMENTS OF 46 USC 6101 AND 43 U 1348.

None
None


No

1
IC Title Form No. Form Name
REPORT OF MARINE ACCIDENT, INJURY OR DEATH AND BARGE ADDENDUM CG-2692, CG-2692A

  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 6,110 6,110 0 0 0 0
Annual Time Burden (Hours) 6,110 6,110 0 0 0 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.
11/21/1986


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