Supplementary Training Course Application

ICR 200201-2133-001

OMB: 2133-0030

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
26620 Migrated
ICR Details
2133-0030 200201-2133-001
Historical Active 199904-2133-001
DOT/MARAD
Supplementary Training Course Application
Extension without change of a currently approved collection   No
Regular
Approved without change 02/20/2002
Retrieve Notice of Action (NOA) 01/07/2002
  Inventory as of this Action Requested Previously Approved
03/31/2005 03/31/2005 05/31/2002
20,000 0 2,000
100 0 100
0 0 0

The Supplementary Training Course Application form is needed to facilitate administration, management and recordation for additional training of U.S. merchant seamen. Also on this form, marine firefighting students must sign a CONSENT/RELEASE statement which warns against participation in the event of exclusionary health conditions.

None
None


No

1
IC Title Form No. Form Name
Supplementary Training Course Application MA-823

  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 20,000 2,000 0 18,000 0 0
Annual Time Burden (Hours) 100 100 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.
01/07/2002


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