Certificate of Discharge to Merchant Mariners

Certificate of Discharge to Merchant Mariner

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.