Written report of marine casualty

Report of Marine Casualty & Chemical Testing of Commercial Vessel Personnel

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0001 can be found here:

Documents and Forms

Document Name Document Type
Form DRAFT_CG-2692 Written report of marine casualty Form
1625-0001_Inst_r5_2016-inv.doc Instruction
DRAFT_CG-2692 Report of Marine Casualty, Commercial Diving Casualty, o CG-2692_2015_draft.pdf www.uscg.mil/forms Form
DRAFT_CG-0692A Barge Addendum CG-2692A_2015_draft.pdf www.uscg.mil/forms Form
DRAFT_CG-2692B Report of Mandatory Chemical Testing Following a Serious CG-2692B_2015_draft.pdf www.uscg.mil/forms Form
DRAFT_CG-2692C Personnel Casualty Addendum CG-2692C_2015_draft.pdf www.uscg.mil/forms Form
DRAFT_CG-2692D Involved Persons and Witness Addendum CG-2692D_2015_draft.pdf www.uscg.mil/forms Form

Information Collection (IC) Details

IC Title:	Written report of marine casualty	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 4.05-10 46 CFR 4.05-12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DRAFT_CG-2692	Report of Marine Casualty, Commercial Diving Casualty, or OCS-related Casualty	CG-2692_2015_draft.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	DRAFT_CG-0692A	Barge Addendum	CG-2692A_2015_draft.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	DRAFT_CG-2692B	Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service	CG-2692B_2015_draft.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0001_Inst_r5_2016-inv.doc		Yes	Yes	Printable Only
Form	DRAFT_CG-2692C	Personnel Casualty Addendum	CG-2692C_2015_draft.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	DRAFT_CG-2692D	Involved Persons and Witness Addendum	CG-2692D_2015_draft.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: USCG (MISLE) System of Records	FR Citation: 74 FR 30305

Number of Respondents: 5,967	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,967	5,967
Annual IC Time Burden (Hours)	11,937	11,937
Annual IC Cost Burden (Dollars)	0	0

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.