Information Collection

Documentation of medical fitness

IC 187967 under ICR 202406-1625-009 · OMB 1625-0079.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0079_Inst_r7_2024-mmc_stcw-pax-vsls-nprm (002).docx	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 46 CFR 12.02-17

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
Instruction			1625-0079_Inst_r7_2024-mmc_stcw-pax-vsls-nprm (002).docx		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title: DHS/USCG 030 Merchant Seamen's Records

FR Citation: 74 FR 30308

Number of Respondents: 35,108

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	33,875	33,875
Annual IC Time Burden (Hours)	11,281	11,281
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.