Information Collection

Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review

IC 26651 under ICR 201501-2133-001 · OMB 2133-0510.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0510 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MA-935 Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review	Form and Instruction
MA-935 Request for Waiver of Service Obligation MA-935 Request for Waiver of Service Obligation.pdf	Form and Instruction
MA-936 Request for Deferment of Service Obligation MA-936 Request for Deferment of Service Obligation.pdf	Form and Instruction
MA-937 Application for Review of Waiver of Deferment Decision MA-937 Application for Review of Waiver or Deferment Decision.pdf	Form and Instruction

IC Title:

Request for Waiver of Service Obligation, request for Deferment of Service Obligation, Application for Review

Agency IC Tracking Number:

2133-0510

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 46 CFR 310

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
Form and Instruction	MA-935	Request for Waiver of Service Obligation	MA-935 Request for Waiver of Service Obligation.pdf	Yes	Yes	Fillable Printable
Form and Instruction	MA-936	Request for Deferment of Service Obligation	MA-936 Request for Deferment of Service Obligation.pdf	Yes	Yes	Fillable Printable
Form and Instruction	MA-937	Application for Review of Waiver of Deferment Decision	MA-937 Application for Review of Waiver or Deferment Decision.pdf	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	7	7

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.