Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical

ICR 200606-1625-001

OMB: 1625-0040

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1625-0040 200606-1625-001
Historical Active 200512-1625-002
DHS/USCG
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
Revision of a currently approved collection   No
Regular
Approved without change 07/24/2006
Retrieve Notice of Action (NOA) 06/05/2006
  Inventory as of this Action Requested Previously Approved
07/31/2009 36 Months From Approved 07/31/2006
73,294 0 73,294
329,356 0 329,356
16,258,000 0 16,258,000

IAW Title 46, US Code & Title 46, CFR the collection of this information is necessary to determine competency, character & physical qualifications for the issuance of USCG licenses, certificates of registry & merchant mariner documents.

None
None


No

1
IC Title Form No. Form Name
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical CG-719B, CG-719K, CG-719S, CG-719P, CG-719K/E

  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 73,294 73,294 0 0 0 0
Annual Time Burden (Hours) 329,356 329,356 0 0 0 0
Annual Cost Burden (Dollars) 16,258,000 16,258,000 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.
06/05/2006


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