Safety Management System Checklist SMS Authority Approval

Mariner Cadet Training-Agreements, Compliance Reporting, and Audits

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0553 can be found here:

Documents and Forms

Document Name Document Type
Form MA-1084 Safety Management System Checklist SMS Authority Approval Form and Instruction
MA-1084 EMBARC Checklist 20211221 EMBARC Checklist.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Safety Management System Checklist SMS Authority Approval	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 51322 46 CFR 50101 (a)(4)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MA-1084	EMBARC Checklist	20211221 EMBARC Checklist.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	70	70
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.