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Submission of continuous discharge book, revised merchant mariner application, physical report new sea service, chemical testing and entry level physical forms.
Submission of continuous discharge book, revised merchant mariner application, physical report new sea service, chemical testing and entry level physical forms.
OMB: 2115-0514
IC ID: 25297
OMB.report
DOT/USCG
OMB 2115-0514
ICR 200111-2115-009
IC 25297
( )
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:
Submission of continuous discharge book, revised merchant mariner application, physical report new sea service, chemical testing and entry level physical forms.
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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CG-719A
No
No
Form
CG-719K/E
No
No
Form
CG-719P
No
No
Form
CG-719B
No
No
Form
CG-719K
No
No
Form
CG-719S
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
200,000
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
48,029
0
48,028
0
0
1
Annual IC Time Burden (Hours)
21,358
0
-61,969
0
0
83,327
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.