Written report of marine casualty

Report of Marine Casualty & Chemical Testing of Commercial Vessel Personnel

Documents and Forms

Document Name Document Type
Form CG-2692 (04/18) Written report of marine casualty Form and Instruction
1625-0001_Inst_r9_2021-inv.docx Instruction
CG-2692 (04/18) Report of Marine Casualty, Commercial Diving Casualty, o CG-2692.pdf www.uscg.mil/forms Form and Instruction
CG-2692A (03/16) Bargge Addendum CG-2692A_03-16_w-exp.pdf www.uscg.mil/forms Form and Instruction
CG-2692B (04/18) Report of Mandatory Chemical Testing Following a Serious CG-2692B.pdf www.uscg.mil/forms Form and Instruction
CG-2692C (03/16) Personnel Casualty Addendum CG-2692C_03-16_w-exp.pdf www.uscg.mil/forms Form and Instruction
CG-2692D (03/16) Involved Persons and Witnesses Addendum CG-2692D_03-16_w-exp.pdf www.uscg.mil/forms Form and Instruction

Information Collection (IC) Details

IC Title:	Written report of marine casualty	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 4.05-10 46 CFR 4.05-12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CG-2692 (04/18)	Report of Marine Casualty, Commercial Diving Casualty, or OCS-Related Casualty	CG-2692.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form and Instruction	CG-2692A (03/16)	Bargge Addendum	CG-2692A_03-16_w-exp.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form and Instruction	CG-2692B (04/18)	Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service	CG-2692B.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form and Instruction	CG-2692C (03/16)	Personnel Casualty Addendum	CG-2692C_03-16_w-exp.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form and Instruction	CG-2692D (03/16)	Involved Persons and Witnesses Addendum	CG-2692D_03-16_w-exp.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Instruction			1625-0001_Inst_r9_2021-inv.docx		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DHS/USCG-013 Marine Information for Safety and Law Enforcement (MISLE)	FR Citation: 74 FR 30305

Number of Respondents: 4,885	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,885	0	0	4,885
Annual IC Time Burden (Hours)	9,775	-889	889	9,775
Annual IC Cost Burden (Dollars)	0	0	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.