Information Collection

Collection of Marine Casualty Information (Form CG-2692/2692A), Chemical Drug and Alcohol Testing Information (Form CG-2692B), and Management Information System Reports

IC 25167 under ICR 199607-2115-006 · 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⚠️ Notice: This information collection may be referencing outdated material.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:	Collection of Marine Casualty Information (Form CG-2692/2692A), Chemical Drug and Alcohol Testing Information (Form CG-2692B), and Management Information System Reports	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.	Available Electronically?	Can Be Submitted Electronically?
Form	CG-5573	No	No
Form	2692B	No	No
Form	2692A	No	No
Form	CG-2692	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 175,123	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	175,123	-4	175,127
Annual IC Time Burden (Hours)	33,878	0	33,878
Annual IC Cost Burden (Dollars)	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.