Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical

U.S. DEPARTMENT OF HOMELAND SECURITY U.S. COAST GUARD

Applications for Merchant Mariner Credentials and Medical Certificates

OMB No. 1625-0040 Exp: 03/31/2021

Who must comply?	Applicants for Merchant Mariner Credentials (MMC), whether original, renewal, duplicate, raise of grade, or a new endorsement on a previously issued MMC. Applicants for Medical Certificates to include National and Standards of Training, Certification and Watchkeeping for Seafarers (STCW) credentialed mariners, and first-class pilots.
What is this collection about?	This information is used by the Coast Guard to evaluate information against applicable statutes, regulations, and policies solely for the purposes of determining eligibility for issuance and retention of an MMC or Medical Certificate.
Where do I find the requirements for this information?	Title 46 CFR Parts 10, 11, 12, 13 and 16, which can be obtained electronically at—https://www.eCFR.gov. For 46 CFR, select TITLE 46 – SHIPPING, and follow it to the applicable part.
When must information be submitted to/retained by the Coast Guard?	An applicant must submit information to the Coast Guard when they seek to obtain or renew an MMC or Medical Certificate.
How is the information submitted?	Through one of 17 Regional Examination Centers (REC) located throughout the nation in written or e-mail form. REC contact and submission information can be found at https://www.dco.uscg.mil/nmc/recs/. Medical Certificate applications also may be submitted directly to the National Maritime Center.
What happens when complete information is received?	The Coast Guard will evaluate the information, and if the applicant establishes to the Coast Guard that he or she satisfies all the requirements for the MMC or Medical Certificate sought, the Coast Guard will issue the credential or certificate.
For additional information, contact--	The National Maritime Center at https://www.dco.uscg.mil/nmc.

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number.

The Coast Guard estimates that the average burden per response for this report varies per information collection— The Coast Guard estimates that the average burden for this report is about 67 minutes (9 minutes for CG-719B, 18 minutes for CG-719K, 15 minutes for CG-719S, 5 minutes for CG-719P, 10 minutes for CG-719C, and 10 minutes for CG-719K/E).. You may submit any comments concerning the accuracy of this burden estimate or any suggestions for reducing the burden to: Commandant (CG-MMC), U.S. Coast Guard Stop 7509, 2703 Martin Luther King Jr Ave SE, Washington, DC 20593-7509 or Office of Management and Budget, Paperwork Reduction Project (1625-0040), Washington, DC 20503.