Information Collection Request

Report of Marine Casualty & Chemical Testing of Commercial Vessel Personnel

ICR 202510-1625-006 · OMB 1625-0001 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CG-2692D (03/16) Involved Persons and Witnesses Addendum Form and Instruction Modified Available
Form CG-2692C (03/16) Personnel Casualty Addendum Form and Instruction Modified Available
Form CG-2692B (04/18) Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service Form and Instruction Modified Available
Form CG-2692A (03/16) Bargge Addendum Form and Instruction Modified Available
Form CG-2692 (04/18) Report of Marine Casualty, Commercial Diving Casualty, or OCS-Related Casualty Form and Instruction Modified Available
1625-0001 30-day FR Notice_91FR51504_20260810_.docx Supplementary Document Uploaded 2026-08-11 Available
1625-0001 60-day FRN_90FR44382_20250915_.docx Supplementary Document Uploaded 2026-08-11 Available
1625-0001_SS_r0_2025_calc-sheet_App_A-to-B.pdf Supplementary Document Uploaded 2026-08-11 Available
privacy_pia_008_uscg_misle_20090903.pdf Supplementary Document Uploaded 2026-08-11 Available
Privacy Act of 1974 USCG--013 MISLE System of Records (SORN).pdf Supplementary Document Uploaded 2026-08-11 Available
46usc70034_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc56311_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc7701_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc7301_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc7101_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc6305_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc6301_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc6101_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc3306_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc2306_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc2303a_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46usc2103_2023 (002).pdf Supplementary Document Uploaded 2026-08-11 Available
43usc1333_2023.pdf Supplementary Document Uploaded 2026-08-11 Available
46 CFR Part 4.pdf Supplementary Document Uploaded 2026-08-11 Available
1625-0001_SS_r0_2025 .docx Supporting Statement A Uploaded 2026-08-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
20438 Written report of marine casualty Form and Instruction ModifiedInvolved Persons and Witnesses Addendum
20438 Written report of marine casualty Form and Instruction ModifiedPersonnel Casualty Addendum
20438 Written report of marine casualty Form and Instruction ModifiedReport of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service
20438 Written report of marine casualty Form and Instruction ModifiedBargge Addendum
20438 Written report of marine casualty Form and Instruction ModifiedReport of Marine Casualty, Commercial Diving Casualty, or OCS-Related Casualty
20438 Written report of marine casualty Instruction Modified
185231 Promulgating the policy requirement Instruction Unchanged
185230 Employee training documentation Instruction Modified
185228 Supervisor training documentation. Instruction Unchanged
185227 Refusal-to-test record (from reasonable suspicion) Instruction Unchanged
185225 Reasonable suspicion determination documentation Instruction Unchanged
185224 Periodic test result report Instruction Unchanged
185223 Exemption from foreign laws Instruction Unchanged
185222 Positive drug/alcohol test report to OCMI. Instruction Unchanged
185221 Positive chemical test report to OCMI Instruction Unchanged
185220 Post accident determination documentation Instruction Modified
185219 Employer documentation of refusal to provide blood, breath urine specimens for chemical test Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
178,306 0
19,179 0
0 0





Reginfo record details
12
table that charts list of burden
IC Title Form No. Form Name
Employee training documentation
Employer documentation of refusal to provide blood, breath urine specimens for chemical test
Exemption from foreign laws
Periodic test result report
Positive chemical test report to OCMI
Positive drug/alcohol test report to OCMI.
Post accident determination documentation
Promulgating the policy requirement
Reasonable suspicion determination documentation
Refusal-to-test record (from reasonable suspicion)
Supervisor training documentation.
Written report of marine casualty CG-2692 (04/18), CG-2692A (03/16), CG-2692B (04/18), CG-2692C (03/16), CG-2692D (03/16) ,   ,   ,   ,  

table that charts list of burden
  Total Request 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 178,306 0 0 0 -1,303 179,609
Annual Time Burden (Hours) 19,179 0 0 -24 -2,322 21,525
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No