Marine Casualty Information & Periodic Chemical Drug and Alcohol Testing of Commercial Vessel Personnel

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CG-2692 Written report of marine casualty	Form	Modified	Available
1625-0001_CmtLtr_PVA_CG-response_2011-12-09.pdf	Supplementary Document	Uploaded 2012-01-04	Available
1625-0001_CmtLtr_LCA_CG-response_2011-12-09.pdf	Supplementary Document	Uploaded 2012-01-04	Available
1625-0001_CmtLtr_GGBHT-FerryDiv_CG-response_2011-12-09.pdf	Supplementary Document	Uploaded 2012-01-04	Available
privacy_pia_uscg_misle.pdf	Supplementary Document	Uploaded 2011-10-26	Available
SORN.doc	Supplementary Document	Uploaded 2011-10-26	Available
30 Day Federal Register.doc	Supplementary Document	Uploaded 2011-10-26	Available
1625-0001_NoR_r0_2011.doc	Supplementary Document	Uploaded 2011-09-28	Available
1625-0001_Regs-46cfr16-2010.pdf	Supplementary Document	Uploaded 2011-09-28	Available
1625-0001_Regs-46cfr4-2010.pdf	Supplementary Document	Uploaded 2011-09-28	Available
60 Day Federal Register.doc	Supplementary Document	Uploaded 2011-09-28	Available
1625-0001_SS_r3_2011.doc	Supporting Statement A	Uploaded 2012-01-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20438	Written report of marine casualty	Form	Modified
185231	Promulgating the policy requirement	Instruction	Modified
185230	Employee training documentation	Instruction	Modified
185228	Supervisor training documentation.	Instruction	Modified
185227	Refusal-to-test record (from reasonable suspicion)	Instruction	Modified
185225	Reasonable suspicion determination documentation	Instruction	Modified
185224	Periodic test result report	Instruction	Modified
185223	Exemption from foreign laws	Instruction	Modified
185222	Positive drug/alcohol test report to OCMI.	Instruction	Modified
185221	Positive chemical test report to OCMI	Instruction	Modified
185220	Post accident determination documentation	Instruction	Modified
185219	Employer documentation of refusal to provide blood, breath urine specimens for chemical test	Instruction	Modified

ICR Details

OMB Control No: 1625-0001	ICR Reference No: 201109-1625-006
Status: Historical Inactive	Previous ICR Reference No: 200805-1625-003
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Marine Casualty Information & Periodic Chemical Drug and Alcohol Testing of Commercial Vessel Personnel
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 04/04/2012
	Date Received in OIRA: 10/31/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2011	36 Months From Approved	01/31/2013
Responses	178,847	0	178,847
Time Burden (Hours)	15,753	0	15,753
Cost Burden (Dollars)	0	0	0

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Abstract: Marine casualty information is needed for CG investigations of commercial vessel casualties involving death, vessel damage, etc., as mandated by Congress. Chemical testing information is needed to improve CG detection/reduction of drug use by mariners.

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Authorizing Statute(s): US Code: 46 USC 6101 Name of Law: Marine Casualties and Reporting
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 46824	08/03/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 62424	10/07/2011
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Promulgating the policy requirement
Post accident determination documentation
Positive chemical test report to OCMI
Exemption from foreign laws
Employer documentation of refusal to provide blood, breath urine specimens for chemical test
Positive drug/alcohol test report to OCMI.
Employee training documentation
Periodic test result report
Reasonable suspicion determination documentation
Refusal-to-test record (from reasonable suspicion)
Written report of marine casualty	CG-2692B, CG-2692, CG-2692A	Report of Marine Accident, Injury or Death ,   Barge Addendum ,   Report of Required Chemical Drug and Alcohol Testing Following a Serious Marine Incident
Supervisor training documentation.

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in burden is an ADJUSTMENT due a change in the number of marine casualty reports submitted to the Coast Guard. There is no proposed change to the reporting or recordkeeping requirements of this collection. The reporting and recordkeeping requirements, and the methodology for calculation burden, remain unchanged.

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Annual Cost to Federal Government: $174,040

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/31/2011

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