Information Collection

Certificate of Discharge to Merchant Mariners

IC 20463 under ICR 201805-1625-004 · OMB 1625-0012.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CG-718A (REV. 05/1 Certificate of Discharge to Merchant Mariners	Form
1625-0012_Instructions_r0_2018.docx	Instruction
CG-718A (REV. 05/1 CERTIFICATE OF DISCHARGE TO MERCHANT MARINER CG-718A.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR Part 14.301 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	CG-718A (REV. 05/12)	CERTIFICATE OF DISCHARGE TO MERCHANT MARINER	CG-718A.pdf		Yes	Yes	Fillable Printable
Instruction			1625-0012_Instructions_r0_2018.docx		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,443

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	44,332	44,332
Annual IC Time Burden (Hours)	1,478	1,478
Annual IC Cost Burden (Dollars)	10,600	10,600

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.