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Certificate of Discharge to Merchant Mariners
Certificate of Discharge to Merchant Mariner
OMB: 1625-0012
IC ID: 20463
OMB.report
DHS/USCG
OMB 1625-0012
ICR 201805-1625-004
IC 20463
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Certificate of Discharge to Merchant Mariners
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
44,332
0
0
0
0
44,332
Annual IC Time Burden (Hours)
1,478
0
0
0
0
1,478
Annual IC Cost Burden (Dollars)
10,600
0
0
0
0
10,600
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.