OMB control number

Certificate of Discharge to Merchant Mariner

OMB 1625-0012 ยท DHS/USCG.

OMB 1625-0012

Needed for establishing evidence of sea service aboard U.S. flagged merchant vessels for merchant mariners to upgrade their credentials, establish proof of eligibility for union and other benefits, and in litigation where vessel service is an issue.

The latest form for Certificate of Discharge to Merchant Mariner expires 2021-10-31 and is listed under ICR 201805-1625-004.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201805-1625-004 Extension without change of a currently approved collection 2018-05-31 Approved without change
201502-1625-001 Reinstatement with change of a previously approved collection 2015-03-24 Approved without change
201205-1625-005 Revision of a currently approved collection 2012-06-29 Approved without change
200907-1625-009 Revision of a currently approved collection 2010-03-31 Approved without change
200612-1625-007 Revision of a currently approved collection 2007-01-30 Approved without change
200308-1625-007 Reinstatement without change of a previously approved collection 2003-08-18 Approved without change
200303-1625-014 Extension without change of a currently approved collection 2003-03-01 Approved without change