Information Collection

Mariner Survey Pre-Test

IC 251345 under ICR 202201-2133-002 · OMB 2133-0555.

Documents and Forms

Document Name Document Type
Form MA-1085 Mariner Survey Pre-Test Form and Instruction
MA-1085 Mariner Survey Pre-Test Mariner Survey Questionnaire for Pre-Test.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mariner Survey Pre-Test	Agency IC Tracking Number:	2133-New

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 46 CFR 50102-Shipping 46 CFR 50104 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MA-1085	Mariner Survey Pre-Test	Mariner Survey Questionnaire for Pre-Test.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DOT/ MARAD 031, Mariner Outreach System	FR Citation: 74 FR 47852

Number of Respondents: 690	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	690	690
Annual IC Time Burden (Hours)	247	247
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.