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⚠️ Notice: This information collection may be referencing outdated material.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.docx Instruction
CG-718A (REV. 05/1 CERTIFICATE OF DISCHARGE TO MERCHANT MARINER CG-718A.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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			1625-0012_Instructions.docx		Yes	Yes	Fillable Printable
Form	CG-718A (REV. 05/12)	CERTIFICATE OF DISCHARGE TO MERCHANT MARINER	CG-718A.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

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 Potential Violation of the PRA
Annual Number of Responses for this IC	44,332	44,332
Annual IC Time Burden (Hours)	1,478	1,478
Annual IC Cost Burden (Dollars)	10,600	10,600

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.