Information Collection

Maritime Administration (MARAD) Exercise Breakout Survey

IC 238250 under ICR 201910-2133-002 · OMB 2133-0550.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0550 can be found here:

Documents and Forms

Document Name Document Type
Form MA-1082 Maritime Administration (MARAD) Exercise Breakout Survey Form and Instruction
MA-1082 MARAD Exercise Breakout Survey MARAD Exercise Breakout Survey.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Maritime Administration (MARAD) Exercise Breakout Survey	Agency IC Tracking Number:	2133-NEW

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 192

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MA-1082	MARAD Exercise Breakout Survey	MARAD Exercise Breakout Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	10	10
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.