Information Collection

Application and Reporting Elements for Participation in the Maritime Security Program

IC 214418 under ICR 201410-2133-002 · OMB 2133-0525.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0525 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MA-172 Application and Reporting Elements for Participation in the Maritime Security Program	Form and Instruction
MA-172 Financial Report of Ship Carriers (Part 1) MA-172 Financial Report of Ship Carriers (Part I).pdf	Form and Instruction
MA-172 Financial Report of Ship Carriers (Part II) MA-172 Financial Report of Ship Carriers (Part II).pdf	Form and Instruction

IC Title:

Application and Reporting Elements for Participation in the Maritime Security Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 46 CFR Part 296.3 (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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MA-172	Financial Report of Ship Carriers (Part 1)	MA-172 Financial Report of Ship Carriers (Part I).pdf		Yes	Yes	Fillable Printable
Form and Instruction	MA-172	Financial Report of Ship Carriers (Part II)	MA-172 Financial Report of Ship Carriers (Part II).pdf		No		Paper Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title: Application and Reporting Requirements for Participation in the Maritime Security Program

FR Citation: 71 FR 126

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	180	180
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	9,306	9,306

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.