Form OMB 83-I

Please read the instructions before completing the form. For additional forms or assistance in completing this form, contact your agency's Paperwork Clearance Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting Statement, and any additional documentation to: Office of Information and Regulatory Affairs, Office of Management and Budget, Docket Library, Room 10102, 725 17th Street NW, Washington, DC 20503.
Agency/Subagency originating request DOT/MARAD		OMB Control Number b. None a. 2133-0030
Type of information collection (check one) a. New collection b. Revision of a currently approved collection c. X Extension of a currently approved collection d. Reinstatement, without change, of a previously approved collection for which approval has expired e. Reinstatement, with change, of a previously approved collection for which approval has expired f. Existing collection in use without an OMB control number For b‑f, note Item A2 of Supporting Statement instructions		Type of review requested (check one) a. X Regular b. Emergency ‑ Approval requested by: ___/_____/___ c. Delegated Small entities Will this information collection have a significant economic impact on a substantial number of small entities? Yes No
		Requested expiration date a. X Three years from approval date b. Other Specify: __ _
Title Supplementary Training Course Application
Agency form number(s) (if applicable) MA-823
Keywords Human Resources Training, Vocational Education, Merchant Marine
Abstract The supplementary Training Course Application form is needed to administer additional training of U.S. merchant seamen. Also on this form, marine firefighting students must sign a CONSENT/RELEASE statement which warns against participation without medical approval.
Affected public (Mark primary with "P" and all others that apply with "X") a. P_ Individuals or households d. ___ Farms b. _ Business or other-for-profit e. ___ Federal Government c. ___ Not-for-profit institutions f. _ State, Local, or Tribal Government		Obligation to respond (Mark primary with "P" and all others that apply with "X") a. _ Voluntary b. P Required to obtain or retain benefits c. _ _ Mandatory
Annual Recordkeeping and reporting burden		Annual reporting and recordkeeping cost burden (in thousands of dollars)
a. Number of respondents	__ 500_ __	a. Total annualized capital startup costs	______________
b. Total annual responses 1. Percentage of these responses collected electronically	__ 500 _ ____ 0 _ %	b. Total annual cost (O&M)	______________
c. Total annual hours requested	_ 25 _________	c. Total annualized cost requested	______________
d. Current OMB inventory	_ 0__ ______	d. Current OMB inventory	______________
e. Difference (+/‑)	_____ 0 ___	e. Difference	______________
f. Explanation of difference 1. Program change (+/‑) 2. Adjustment (+/‑)	_____ _0___ _________ __	f. Explanation of difference 1. Program change 2. Adjustment	______________ ______________
Purpose of information collection (Mark primary with "P" and all others that apply with "X") a. _P Application of benefits e. _x_ Program planning or management b. _ X Program evaluation f. _ _ Research c. ___ General purpose statistics g X Regulatory compliance d. ___ Audit		Frequency of recordkeeping or reporting (check all that apply) a. Recordkeeping b. Third party disclosures c. Reporting 1. X On occasion 2. Weekly 3. Monthly 4. Quarterly 5. Semi‑annually 6. Annually 7. Biennially 8. Other (describe) _________
Statistical methods Does this information collection employ statistical methods? Yes X No		Agency contact (person who can best answer questions regarding the content of this submission Name: _Rodney McFadden _ Phone: 202-366-2647 __________

Certification for Paperwork Reduction Act Submissions On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320..9. NOTE: The text of 5 CFR 1320.9, and the related provisions of 5 CFR 1320.8(b) (3), appear at the end of the instructions. The certification is to be made with reference to those regulatory provisions as set forth in the instructions. 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 terminology 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): (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 (see note in Item 19 of the instructions); (i) It uses effective and efficient statistical survey methodology; and (j) It makes appropriate use of information technology. If you are unable to certify compliance with any of these provisions, identify the item below and explain the reason in Item 18 of the Supporting Statement.

Signature of Senior Official or Designee

Date

OMB 83‑I (10/95)