Information Collection

Marine Casualty Information & Periodic Chemical Drug and Alcohol Testing of Commercial Vessel Personnel

IC 20438 under ICR 200504-1625-002 · OMB 1625-0001.

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Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Marine Casualty Information & Periodic Chemical Drug and Alcohol Testing of Commercial Vessel Personnel

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CG-2692A	Yes	Yes
Form	CG-2692	Yes	Yes
Form	CG-2692B	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 34,115

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	182,015	926	181,089
Annual IC Time Burden (Hours)	18,876	-319	19,195
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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