Information Collection

Maritime Administration (MARAD) Exercise Breakout Survey

IC 238250 under ICR 202511-2133-002 · OMB 2133-0550.

Documents and Forms

Document Name Document Type
Form MA-1082 Maritime Administration (MARAD) Exercise Breakout Survey Form and Instruction
Form MA-1082 Mariner PrepEx Survey Maritime Administration (MARAD) Exercise Breakout Survey Form and Instruction
MA-1082 Mariner PrepEx Survey MA-1082 Mariner PrepEx Survey Questions 11.21.2025 .pdf Form and Instruction
MA-1082 Mariner PrepEx Survey MA-1082 Mariner PrepEx Survey Questions 11.21.2025 .pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Maritime Administration (MARAD) Exercise Breakout Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 192

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MA-1082	Mariner PrepEx Survey	MA-1082 Mariner PrepEx Survey Questions 11.21.2025 .pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,750	227	1,523
Annual IC Time Burden (Hours)	146	19	127
Annual IC Cost Burden (Dollars)	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.

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