Seamen's Claims, Administrative Action and Litigation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0522 can be found here:

Documents and Forms

Document Name Document Type
Seamen Claims Checklist Requirement.pdf Other-Claims Checklist Requirements

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Seamen's Claims, Administrative Action and Litigation	Agency IC Tracking Number:	2133-0522

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 46 CFR 327

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Claims Checklist Requirements			Seamen Claims Checklist Requirement.pdf		Yes	No	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	188	188
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.