Report of Marine Casualty & Chemical Testing of Commercial Vessel Personnel

Forms and Documents

Document Name	Status
Form DRAFT_CG-2692 Written report of marine casualty Form	Modified
1625-0001_OMB_83-C_title-rev_r0_2016.pdf Justification for No Material/Nonsubstantive Change	2016-09-27
1625-0001_SS_r0_2015_calc-sheet_App-A-to-B.pdf Supplementary Document	2016-02-09
1625-0001 30-Day FR Notice_81FR5774_03FEB2016.doc Supplementary Document	2016-02-03
1625-0001_SS_r1_2016_pr.doc Supporting Statement A	2016-02-03
1625-0001_60-Day Federal Register Notice_Vol80_FR64430_20151023.doc Supplementary Document	2016-01-28
CFR-1996-title46-vol1-sec16-401.pdf Supplementary Document	2016-01-28
CFR-1998-title46-vol1-sec16-250.pdf Supplementary Document	2016-01-28
CFR-2008-title46-vol1-sec16-220.pdf Supplementary Document	2016-01-28
CFR-1996-title46-vol1-sec16-207.pdf Supplementary Document	2016-01-28
CFR-2011-title46-vol1-part16.pdf Supplementary Document	2016-01-28
CFR-2010-title46-vol1-part4.pdf Supplementary Document	2016-01-28
USCODE-2011-title46-subtitleII-partE-chap77-sec7704.pdf Supplementary Document	2016-01-28
USCODE-2011-title46-subtitleII-partE-chap75-sec7503.pdf Supplementary Document	2016-01-28
USCODE-2009-title46-subtitleII-partD-chap63-sec6301.pdf Supplementary Document	2016-01-28
USCODE-2011-title46-subtitleII-partD-chap61-sec6101.pdf Supplementary Document	2016-01-28
USCODE-2011-title46-subtitleII-partA-chap23-sec2302.pdf Supplementary Document	2016-01-28
USCODE-2010-title18-partI-chap17A.pdf Supplementary Document	2016-01-28
privacy_pia_uscg_misle.pdf Supplementary Document	2011-10-26
SORN.doc Supplementary Document	2011-10-26

IC Document Collections

IC ID	Document Title	Status
20438	Written report of marine casualty Form	Modified
185231	Promulgating the policy requirement Instruction	Unchanged
185230	Employee training documentation Instruction	Unchanged
185228	Supervisor training documentation. Instruction	Unchanged
185227	Refusal-to-test record (from reasonable suspicion) Instruction	Unchanged
185225	Reasonable suspicion determination documentation Instruction	Unchanged
185224	Periodic test result report Instruction	Unchanged
185223	Exemption from foreign laws Instruction	Unchanged
185222	Positive drug/alcohol test report to OCMI. Instruction	Unchanged
185221	Positive chemical test report to OCMI Instruction	Unchanged
185220	Post accident determination documentation Instruction	Unchanged
185219	Employer documentation of refusal to provide blood, breath urine specimens for chemical test Instruction	Unchanged

ICR Details

OMB Control No: 1625-0001	ICR Reference No: 201609-1625-004
Status: Historical Active	Previous ICR Reference No: 201601-1625-008
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Report of Marine Casualty & Chemical Testing of Commercial Vessel Personnel
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/29/2016
	Date Received in OIRA: 09/29/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	03/31/2019	03/31/2019
Responses	180,489	0	180,489
Time Burden (Hours)	23,586	0	23,586
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 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: 46 USC 6101 Name of Law: Marine Casualties and Reporting
   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

IC Title	Form No.	Form Name
Employer documentation of refusal to provide blood, breath urine specimens for chemical test
Positive drug/alcohol test report to OCMI.
Employee training documentation
Periodic test result report
Reasonable suspicion determination 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
Supervisor training documentation.
Promulgating the policy requirement
Refusal-to-test record (from reasonable suspicion)
Post accident determination documentation
Positive chemical test report to OCMI
Exemption from foreign laws

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ICR Summary 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	180,489	0	0	0	0
Annual Time Burden (Hours)	23,586	23,586	0	0	0	0
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:

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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: 09/29/2016

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