Marine Casualty Information & Periodic Chemical Drug and Alcohol Testing of Commercial Vessel Personnel

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DRAFT_CG-2692D Involved Persons and Witness Addendum	Form	Modified	Available
Form DRAFT_CG-2692C Personnel Casualty Addendum	Form	Modified	Available
Form DRAFT_CG-2692B Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service	Form	Modified	Available
Form DRAFT_CG-0692A Barge Addendum	Form	Modified	Available
Form DRAFT_CG-2692 Report of Marine Casualty, Commercial Diving Casualty, or OCS-related Casualty	Form	Modified	Available
1625-0001_SS_r0_2015_calc-sheet_App-A-to-B.pdf	Supplementary Document	Uploaded 2016-02-09	Available
1625-0001 30-Day FR Notice_81FR5774_03FEB2016.doc	Supplementary Document	Uploaded 2016-02-03	Available
1625-0001_SS_r1_2016_pr.doc	Supporting Statement A	Uploaded 2016-02-03	Available
1625-0001_60-Day Federal Register Notice_Vol80_FR64430_20151023.doc	Supplementary Document	Uploaded 2016-01-28	Available
CFR-1996-title46-vol1-sec16-401.pdf	Supplementary Document	Uploaded 2016-01-28	Available
CFR-1998-title46-vol1-sec16-250.pdf	Supplementary Document	Uploaded 2016-01-28	Available
CFR-2008-title46-vol1-sec16-220.pdf	Supplementary Document	Uploaded 2016-01-28	Available
CFR-1996-title46-vol1-sec16-207.pdf	Supplementary Document	Uploaded 2016-01-28	Available
CFR-2011-title46-vol1-part16.pdf	Supplementary Document	Uploaded 2016-01-28	Available
CFR-2010-title46-vol1-part4.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2011-title46-subtitleII-partE-chap77-sec7704.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2011-title46-subtitleII-partE-chap75-sec7503.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2009-title46-subtitleII-partD-chap63-sec6301.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2011-title46-subtitleII-partD-chap61-sec6101.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2011-title46-subtitleII-partA-chap23-sec2302.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2010-title18-partI-chap17A.pdf	Supplementary Document	Uploaded 2016-01-28	Available
privacy_pia_uscg_misle.pdf	Supplementary Document	Uploaded 2011-10-26	Available
SORN.doc	Supplementary Document	Uploaded 2011-10-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20438	Written report of marine casualty	Form	Modified	Involved Persons and Witness Addendum
20438	Written report of marine casualty	Form	Modified	Personnel Casualty Addendum
20438	Written report of marine casualty	Form	Modified	Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service
20438	Written report of marine casualty	Form	Modified	Barge Addendum
20438	Written report of marine casualty	Form	Modified	Report of Marine Casualty, Commercial Diving Casualty, or OCS-related Casualty
20438	Written report of marine casualty	Instruction	Modified
185231	Promulgating the policy requirement	Instruction	Modified
185230	Employee training documentation	Instruction	Modified
185228	Supervisor training documentation.	Instruction	Modified
185227	Refusal-to-test record (from reasonable suspicion)	Instruction	Modified
185225	Reasonable suspicion determination documentation	Instruction	Modified
185224	Periodic test result report	Instruction	Modified
185223	Exemption from foreign laws	Instruction	Modified
185222	Positive drug/alcohol test report to OCMI.	Instruction	Modified
185221	Positive chemical test report to OCMI	Instruction	Modified
185220	Post accident determination documentation	Instruction	Modified
185219	Employer documentation of refusal to provide blood, breath urine specimens for chemical test	Instruction	Modified

ICR Details

OMB Control No: 1625-0001	ICR Reference No: 201601-1625-008
Status: Historical Active	Previous ICR Reference No: 201204-1625-004
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Marine Casualty Information & Periodic Chemical Drug and Alcohol Testing of Commercial Vessel Personnel
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/30/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/11/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved
Responses	180,489	0	0
Time Burden (Hours)	23,586	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Marine casualty information is needed for CG investigations of commercial vessel casualties involving death, vessel damage, etc., as mandated by Congress. Chemical testing information is needed to improve CG detection/reduction of drug use by mariners.

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Authorizing Statute(s): US Code: 46 USC 6101 Name of Law: Marine Casualties and Reporting
   US Code: 46 USC 6301 Name of Law: Investigation of Marine Casualties
   US Code: 46 USC 2302 Name of Law: Penalties for Negligent Operations and Interfering with Safe Operation
   US Code: 18 USC Chapter 17A Name of Law: Common Carrier Operation Under the Influence of Alcohol or Drugs
   US Code: 46 USC 7503 Name of Law: Dangerous Drugs as Grounds for Denial
   US Code: 46 USC 7704 Name of Law: Dangerous Drugs as Grounds for Revocation
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 64430	10/23/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 5774	02/03/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Employee training documentation
Employer documentation of refusal to provide blood, breath urine specimens for chemical test
Exemption from foreign laws
Periodic test result report
Positive chemical test report to OCMI
Positive drug/alcohol test report to OCMI.
Post accident determination documentation
Promulgating the policy requirement
Reasonable suspicion determination documentation
Refusal-to-test record (from reasonable suspicion)
Supervisor training documentation.
Written report of marine casualty	DRAFT_CG-2692C, DRAFT_CG-2692D, DRAFT_CG-2692, DRAFT_CG-0692A, DRAFT_CG-2692B	Report of Marine Casualty, Commercial Diving Casualty, or OCS-related Casualty ,   Barge Addendum ,   Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service ,   Personnel Casualty Addendum ,   Involved Persons and Witness Addendum

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	180,489	0	0	0	1,201	179,288
Annual Time Burden (Hours)	23,586	0	0	0	2,600	20,986
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in burden is an ADJUSTMENT due to a change (i.e., increase) in the estimated annual number of responses. The reporting and recordkeeping requirements, and methodology for calculating burden, remain unchanged. Regarding forms, we have revised the 3 forms related to this collection and propose to add 2 new forms. An explanation of why we are making these changes is in section 8 of this ICR. See Table 3 below for how the form titles are revised.

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Annual Cost to Federal Government: $524,436

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

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 language 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) about:

(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.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/11/2016

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