Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review

Request for Waiver of Service Obligation, Request for Deferment of Service Obligation, Application for Review

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0510 can be found here:

Documents and Forms

Document Name Document Type
Form MA-935 Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review Form and Instruction
MA-935 Request for Waiver of Service Obligation MA-935 Request for Waiver of Service Obligation.pdf Form and Instruction
MA-936 Request for Deferment of Service Obligation MA-936 Request for Deferment of Service Obligation.pdf Form and Instruction
MA-937 Application for Review of Waiver/Deferment Decision MA-937 Application for Review of Waiver or Deferment Decision.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 46 CFR 310

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MA-935	Request for Waiver of Service Obligation	MA-935 Request for Waiver of Service Obligation.pdf	Yes	No	Fillable Printable
Form and Instruction	MA-936	Request for Deferment of Service Obligation	MA-936 Request for Deferment of Service Obligation.pdf	Yes	No	Fillable Printable
Form and Instruction	MA-937	Application for Review of Waiver/Deferment Decision	MA-937 Application for Review of Waiver or Deferment Decision.pdf	Yes	No	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11	-10	21
Annual IC Time Burden (Hours)	3	-5	8
Annual IC Cost Burden (Dollars)	7	7	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.