OMB
.report
Search
Certificate Of Discharge To Merchant Seaman
CERTIFICATE OF DISCHARGE TO MERCHANT SEAMAN
OMB: 2115-0042
IC ID: 140500
OMB.report
DOT/USCG
OMB 2115-0042
ICR 198707-2115-011
IC 140500
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2115-0042 can be found here:
2000-03-28 - Extension without change of a currently approved collection
1997-01-02 - Reinstatement without change of a previously 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:
CERTIFICATE OF DISCHARGE TO MERCHANT SEAMAN
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-718A
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,300
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
322,000
0
0
-1,120
0
323,120
Annual IC Time Burden (Hours)
16,100
0
0
-56
0
16,156
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.