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

ICR 200803-1625-010

OMB: 1625-0040

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2009-06-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
Supplementary Document
2009-03-17
ICR Details
1625-0040 200803-1625-010
Historical Active 200606-1625-001
DHS/USCG
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
Extension without change of a currently approved collection   No
Regular
Approved with change 06/30/2009
Retrieve Notice of Action (NOA) 04/08/2009
USCG should continue working to maximize submitters ability to submit the instruments electronically (beyond the capacity to electronically fill out and email the documents.)
  Inventory as of this Action Requested Previously Approved
06/30/2012 36 Months From Approved 07/31/2009
65,299 0 73,294
10,885 0 329,356
0 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

Not associated with rulemaking

  73 FR 54842 09/23/2008
74 FR 9421 03/04/2009
No

  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 65,299 73,294 0 0 -7,995 0
Annual Time Burden (Hours) 10,885 329,356 0 0 -318,471 0
Annual Cost Burden (Dollars) 0 16,258,000 0 -16,300,146 42,146 0
No
No
The changed is due to an ADJUSTMENT to our program. Previous estimations in burden hours were an overestimate which erroneously considered travel time to and from Regional Exam Centers. Written applications may be mailed, and do not require travel time.

$0
No
No
Uncollected
Uncollected
No
Uncollected
Ian Bird 2023721208

  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.
04/08/2009


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