Information Collection

Certificate of Discharge to Merchant Mariners

IC 20463 under ICR 201205-1625-005 · OMB 1625-0012.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0012_Instructions_2Feb12.docx	Instruction
CG-718A Certificate of Discharge to Merchant Mariner CG718A_fillable_6Mar12.pdf	Form
CG-718A Certificate of Discharge to Merchant Seaman CG-718A[1]paper copy.pdf	Form

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: 46 CFR Part 14 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0012_Instructions_2Feb12.docx	Yes	Yes	Printable Only
Form	CG-718A	Certificate of Discharge to Merchant Mariner	CG718A_fillable_6Mar12.pdf	Yes	Yes	Fillable Printable
Form	CG-718A	Certificate of Discharge to Merchant Seaman	CG-718A[1]paper copy.pdf	No		Printable Only

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title: Privacy Act of 1974: System of Records

FR Citation: 65 FR 19476

Number of Respondents: 2,443

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	44,332	-28,974	73,306
Annual IC Time Burden (Hours)	1,478	-966	2,444
Annual IC Cost Burden (Dollars)	10,600	10,600	0

Documents for IC

table that charts IC Documents
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.