Report of Marine Casualty & Chemical Testing of Commercial Vessel Personnel

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CG-2692 (04/18) Written report of marine casualty	Form and Instruction	Modified	Repair queued
1625-0001_SS_r0_2018_pr v2.doc	Supporting Statement A	Uploaded 2019-03-28	Available
1625-0001_SS_r0_2018_calc-sheet_App-A-to-B_pr.pdf	Supplementary Document	Uploaded 2019-03-28	Available
CFR-2014-title46-vol1-part4.pdf	Supplementary Document	Uploaded 2019-03-28	Available
DHS-USCG_031 ULE_SORN_81 FR 88697_20161208.pdf	Supplementary Document	Uploaded 2018-03-20	Available
privacy_pia_008_uscg_misle_20090903.pdf	Supplementary Document	Uploaded 2018-03-20	Available
CFR-2010-title46-vol1-part4.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2011-title46-subtitleII-partE-chap77-sec7704.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2011-title46-subtitleII-partE-chap75-sec7503.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2009-title46-subtitleII-partD-chap63-sec6301.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2011-title46-subtitleII-partD-chap61-sec6101.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2011-title46-subtitleII-partA-chap23-sec2302.pdf	Supplementary Document	Uploaded 2016-01-28	Available
USCODE-2010-title18-partI-chap17A.pdf	Supplementary Document	Uploaded 2016-01-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
235508	Additional Quality review and processing of all forms		New
20438	Written report of marine casualty	Form and Instruction	Modified
185231	Promulgating the policy requirement	Instruction	Modified
185230	Employee training documentation	Instruction	Modified
185228	Supervisor training documentation.	Instruction	Modified
185227	Refusal-to-test record (from reasonable suspicion)	Instruction	Modified
185225	Reasonable suspicion determination documentation	Instruction	Modified
185224	Periodic test result report	Instruction	Modified
185223	Exemption from foreign laws	Instruction	Modified
185222	Positive drug/alcohol test report to OCMI.	Instruction	Modified
185221	Positive chemical test report to OCMI	Instruction	Modified
185220	Post accident determination documentation	Instruction	Modified
185219	Employer documentation of refusal to provide blood, breath urine specimens for chemical test	Instruction	Modified

ICR Details

OMB Control No: 1625-0001	ICR Reference No: 201903-1625-001
Status: Active	Previous ICR Reference No: 201803-1625-005
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Report of Marine Casualty & Chemical Testing of Commercial Vessel Personnel
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/11/2019
	Date Received in OIRA: 03/28/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved	07/31/2019
Responses	180,890	0	180,152
Time Burden (Hours)	28,597	0	22,939
Cost Burden (Dollars)	0	0	0

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Abstract: Marine casualty information is needed for CG investigations of commercial vessel casualties involving death, vessel damage, etc., as mandated by Congress. Chemical testing information is needed to improve CG detection/reduction of drug and alcohol use by mariners.

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Authorizing Statute(s): US Code: 46 USC 6101 Name of Law: Marine Casualties and Reporting
   US Code: 18 USC Chapter 17A Name of Law: Common Carrier Operation Under the Influence of Alcohol or Drugs
   US Code: 46 USC 6301 Name of Law: Investigation of Marine Casualties
   US Code: 46 USC 2302 Name of Law: Penalties for Negligent Operations and Interfering with Safe Operation
   US Code: 46 USC 7503 Name of Law: Dangerous Drugs as Grounds for Denial
   US Code: 46 USC 7704 Name of Law: Dangerous Drugs as Grounds for Revocation
  

Citations for New Statutory Requirements: US Code: 46 USC 6301 Name of Law: Investigation of marine casualties

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 62597	12/04/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 7095	03/01/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
Employer documentation of refusal to provide blood, breath urine specimens for chemical test
Positive drug/alcohol test report to OCMI.
Employee training documentation
Periodic test result report
Reasonable suspicion determination documentation
Refusal-to-test record (from reasonable suspicion)
Written report of marine casualty	CG-2692 (04/18), CG-2692A (03/16), CG-2692B (04/18), CG-2692C (03/16), CG-2692D (03/16)	Report of Marine Casualty, Commercial Diving Casualty, or OCS-Related Casualty ,   Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service ,   Personnel Casualty Addendum ,   Involved Persons and Witnesses Addendum ,   Bargge Addendum
Supervisor training documentation.
Promulgating the policy requirement
Post accident determination documentation
Positive chemical test report to OCMI
Exemption from foreign laws
Additional Quality review and processing of all forms

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	180,890	180,152	0	0	738	0
Annual Time Burden (Hours)	28,597	22,939	0	0	5,658	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in burden is an ADJUSTMENT due to a change (i.e., increase) in the estimated annual number of responses. There is no proposed change to the reporting requirements of this collection. The reporting requirements, and methodology for calculating burden, remain unchanged.

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Annual Cost to Federal Government: $493,455

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/28/2019

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