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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form MA-1082 Maritime Administration (MARAD) Exercise Breakout Survey	Form and Instruction
Form MA-1082 MARAD Exercise Breakout Survey Maritime Administration (MARAD) Exercise Breakout Survey	Form and Instruction
MA-1082 MARAD Exercise Breakout Survey MARAD Exercise Breakout Survey.docx	Form and Instruction
MA-1082 MARAD Exercise Breakout Survey MARAD Exercise Breakout Survey.docx	Form and Instruction

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MA-1082				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 %

table that charts list of burden
	Approved	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

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.

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