Information Collection

Mariner Survey Pre-Test

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.