Information Collection

Merchant Mariner License, Certificates, and Document Application; Criminal Record Review in Issuing Licenses, CORS, MMDs; Access to NDR; 5-Year Terms of Validity

IC 25295 under ICR 199705-2115-007 · OMB 2115-0514.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2115-0514 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Merchant Mariner License, Certificates, and Document Application; Criminal Record Review in Issuing Licenses, CORS, MMDs; Access to NDR; 5-Year Terms of Validity	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CG-719A	No	No
Form	CG-2849-CG-5205	No	No
Form	FBI-(FO-258)	No	No
Form	CG-719B	No	No
Form	CG5206-CG-887	No	No
Form	CG-719K-4509	No	No
Form	CG-3750-CG-2987	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 121,222	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	83,327	-79,146	162,473
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.