Information Collection Request

Mariner Survey Pre-Test

ICR 202201-2133-002 · OMB 2133-0555 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form MA-2010 Cognitive Interview Guide - Draft Form and Instruction New Repair queued
Form MA-1085 Mariner Survey Questionnaire Form and Instruction New Repair queued
Form MA-1085 Mariner Survey Pre-Test Form and Instruction New Available
Form MA-1085 Mariner Survey Pre-Test Form and Instruction New Repair queued
Summary of Merchant Mariner .docx Supplementary Document Uploaded 2022-01-28 Repair queued
Summary of Historical Revealed Data.docx Supplementary Document Uploaded 2022-01-28 Repair queued
Pretest Contact Letters Draft.docx Supplementary Document Uploaded 2022-01-28 Repair queued
Cognitive Interview Guide Draft.docx Supplementary Document Uploaded 2022-01-28 Available
46 CRF 50102 Shipping.pdf Supplementary Document Uploaded 2022-01-28 Repair queued
30-day FRN.pdf Supplementary Document Uploaded 2022-01-28 Repair queued
60-day FRN.pdf Supplementary Document Uploaded 2022-01-28 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2022-01-28 Repair queued
Supporting Statement A.docx Supporting Statement A Uploaded 2022-01-28 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
251345 Mariner Survey Pre-Test Form and Instruction NewCognitive Interview Guide - Draft
251345 Mariner Survey Pre-Test Form and Instruction NewMariner Survey Questionnaire
251345 Mariner Survey Pre-Test Form and Instruction NewMariner Survey Pre-Test
251345 Mariner Survey Pre-Test Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2026 36 Months From Approved
690 0 0
247 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Mariner Survey Pre-Test MA-1085, MA-1085, MA-2010 ,   ,  

table that charts list of burden
  Total Approved 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 690 0 0 690 0 0
Annual Time Burden (Hours) 247 0 0 247 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No