Information Collection

Written report of marine casualty

IC 20438 under ICR 201801-1625-001 · OMB 1625-0001.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-2692 (03/16) Report of Marine Casualty, Commercial Diving Casualty, or OCS-Related Casualty Written report of marine casualty	Form and Instruction
Form CG-2692A (03/16) Barge Addendum Written report of marine casualty	Form and Instruction
Form CG-2692B (03/16) Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service Written report of marine casualty	Form and Instruction
Form CG-2692C (03/16) Personnel Casualty Addendum Written report of marine casualty	Form and Instruction
Form CG-2692D (03/16) Involved Persons and Witnesses Addendum Written report of marine casualty	Form and Instruction
1625-0001_Inst_r6_2016-inv.doc	Instruction
CG-2692 (03/16) Report of Marine Casualty, Commercial Diving Casualty, o CG-2692_03-16_w-exp.pdf www.uscg.mil/forms	Form and Instruction
CG-2692A (03/16) Barge Addendum CG-2692A_03-16_w-exp.pdf www.uscg.mil/forms	Form and Instruction
CG-2692B (03/16) Report of Mandatory Chemical Testing Following a Serious CG-2692B_03-16_w-exp.pdf www.uscg.mil/forms	Form and Instruction
CG-2692C (03/16) Personnel Casualty Addendum CG-2692C_03-16_w-exp.pdf www.uscg.mil/forms	Form and Instruction
CG-2692D (03/16) Involved Persons and Witnesses Addendum CG-2692D_03-16_w-exp.pdf www.uscg.mil/forms	Form and Instruction

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CG-2692 (03/16)	Report of Marine Casualty, Commercial Diving Casualty, or OCS-Related Casualty	CG-2692_03-16_w-exp.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form and Instruction	CG-2692A (03/16)	Barge Addendum	CG-2692A_03-16_w-exp.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form and Instruction	CG-2692B (03/16)	Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service	CG-2692B_03-16_w-exp.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form and Instruction	CG-2692C (03/16)	Personnel Casualty Addendum	CG-2692C_03-16_w-exp.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form and Instruction	CG-2692D (03/16)	Involved Persons and Witnesses Addendum	CG-2692D_03-16_w-exp.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0001_Inst_r6_2016-inv.doc		Yes	Yes	Printable Only

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: 5,651

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,651	-316	316	-316	5,967
Annual IC Time Burden (Hours)	11,301	5,018	-5,022	-632	11,937
Annual IC Cost Burden (Dollars)	0	0	0	0	0

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.