Seamen's Claims, Administrative Action and Litigation

Forms and Documents

Document Name	Status
2133-0522-Supporting Statement.docx Supporting Statement A	2021-10-14
Seamen Claims Checklist Requirement.pdf Supplementary Document	2021-10-06
2133-0522_References.pdf Supplementary Document	2021-09-10
30-day FRN.pdf Supplementary Document	2021-09-07
60-day FRN (2).pdf Supplementary Document	2021-09-07

IC Document Collections

IC ID	Document Title	Status
26671	Seamen's Claims, Administrative Action and Litigation Other-Seamen's Claim Checklist Requirements	Modified

ICR Details

OMB Control No: 2133-0522	ICR Reference No: 202109-2133-001
Status: Received in OIRA	Previous ICR Reference No: 201804-2133-001
Agency/Subagency: DOT/MARAD	Agency Tracking No: 0712-0522
Title: Seamen's Claims, Administrative Action and Litigation
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 10/29/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2021
Responses	15	15
Time Burden (Hours)	188	188
Cost Burden (Dollars)	0	0

---

Abstract: The information in this collection is required to evaluate injury claims made by seamen working aboard government-owned vessels. The response is voluntary by the seafarer, but would be required to evaluate injury claims made by seamen working aboard government-owned vessels to obtain a possible settlement with the government. The data collected is to obtain benefits. Claims are filed annually and/or as needed and must be in writing and in any form and mailed or emailed to the Maritime Administration, Director, Office of Marine Insurance. The information required is found in 46 CFR, Part 327. The collected information must meet the requirements stated in 46 CFR, Part 327. The Claims are kept on file (secured file cabinet) at MARAD's Office of Marine Insurance.

---

Authorizing Statute(s): US Code: 46 USC 31101-31113 Name of Law: Public Vessel Act
   US Code: 46 USC 30901-30918 Name of Law: Suits in Admiralty Against the United States
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 27675	05/21/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 49090	09/01/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Seamen's Claims, Administrative Action and Litigation

---

ICR Summary of Burden

	Total Request	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	15	15	0	0	0	0
Annual Time Burden (Hours)	188	188	0	0	0	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:

---

Annual Cost to Federal Government: $11,965

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.     No

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? No

---

Common Form ICR:  No

---

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: 10/29/2021

---