Certificate of Discharge to Merchant Mariners

ICR 200303-1625-014

OMB: 1625-0012

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
20462 Migrated
ICR Details
1625-0012 200303-1625-014
Historical Active 200003-2115-004
DHS/USCG
Certificate of Discharge to Merchant Mariners
Extension without change of a currently approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
  Inventory as of this Action Requested Previously Approved
04/30/2003 04/30/2003
130,000 0 0
4,500 0 0
0 0 0

Needed to establish evidence of service aboard U.S. flag merchant vessels for merchant mariners to upgrade their credentials, establish proof of eligibility for union and other benefits, and for use in litigation where vessel service is an issue.

None
None


No

1
IC Title Form No. Form Name
Certificate of Discharge to Merchant Mariners CG-718A

  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 130,000 0 0 130,000 0 0
Annual Time Burden (Hours) 4,500 0 0 4,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
03/01/2003


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