Certificate of Discharge to Merchant Mariners

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0012 can be found here:

Documents and Forms

Document Name Document Type
Form CG-718A Certificate of Discharge to Merchant Mariners Form
CG-718A Certificate of Discharge to Merchant Mariners 1625-0012 CG_718A.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certificate of Discharge to Merchant Mariners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-718A	Certificate of Discharge to Merchant Mariners	1625-0012 CG_718A.pdf		No		Paper Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,937	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	58,110	-71,890	130,000
Annual IC Time Burden (Hours)	1,743	-2,757	4,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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