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Written report of marine casualty
Marine Casualty Information & Periodic Chemical Drug and Alcohol Testing of Commercial Vessel Personnel
OMB: 1625-0001
IC ID: 20438
OMB.report
DHS/USCG
OMB 1625-0001
ICR 200805-1625-003
IC 20438
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0001 can be found here:
2022-07-19 - Extension without change of a currently approved collection
2019-03-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CG-2692
Written report of marine casualty
Form
CG-2692 Report of Marine Accident, Injury or Death
CG-2692.pdf
www.uscg.mil/forms
Form
CG-2692A Barge Addendum
CG-2692A.pdf
www.uscg.mil/forms
Form
CG-2692B Report of Required Chemical Drug and Alcohol Testing Fol
CG-2692B.pdf
www.uscg.mil/forms
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Written report of marine casualty
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
46 CFR Part 4 (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CG-2692
Report of Marine Accident, Injury or Death
CG-2692.pdf
http://www.uscg.mil/forms
Yes
Yes
Fillable Printable
Form
CG-2692A
Barge Addendum
CG-2692A.pdf
http://www.uscg.mil/forms
Yes
Yes
Fillable Printable
Form
CG-2692B
Report of Required Chemical Drug and Alcohol Testing Following a Serious Marine Incident
CG-2692B.pdf
http://www.uscg.mil/forms
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Water Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,351
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
10 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,351
0
0
-177,664
0
182,015
Annual IC Time Burden (Hours)
4,351
0
0
-14,525
0
18,876
Annual IC Cost Burden (Dollars)
0
0
0
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.