Applications for Merchant Mariner Credentials and Medical Certificates

OMB 1625-0040

IAW Title 46 CFR Parts 10, 11, 12, 13, and 16, the collection of this information is necessary to determine competency, character & physical qualifications for the issuance of a Merchant Mariner Credential (MMC) or Medical Certificate.

The latest form for Applications for Merchant Mariner Credentials and Medical Certificates expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
PTA USCG - Pilots Medical Certificate Validity Period Final Rule 20220506 PRIV Final.pdf Supplementary Document
DHS_USCG_030 Merchant Seamens Records_20090625_74 FR 30308.docx Supplementary Document
privacy-pia-uscg-015-MMLDS-2011.pdf Supplementary Document
1625-0040_SS_r0_2021_calc-sheet_App_A-to-B_pmn-nprm.pdf Supplementary Document
CFR-2021-title46-vol1-part16.pdf Supplementary Document
CFR-2021-title46-vol1-part13.pdf Supplementary Document
CFR-2021-title46-vol1-part12.pdf Supplementary Document
CFR-2021-title46-vol1-part11.pdf Supplementary Document
CFR-2021-title46-vol1-part10.pdf Supplementary Document
1625-0040_SS_r0_2021_pmc-nprm (006).docx Supporting Statement A
USCODE-2011-title46-subtitleII-partE.pdf Supplementary Document
Applications for Merchant Mariner Credentials and Medical Certificates Instruction

All Historical Document Collections

202304-1625-003	Revision of a currently approved collection	2024-01-26
202102-1625-008 Approved with change	Extension without change of a currently approved collection	2021-03-11
201601-1625-009 Approved without change	Reinstatement with change of a previously approved collection	2018-03-01
201409-1625-011 Approved with change	Revision of a currently approved collection	2015-03-26
201404-1625-001 Improperly submitted and continue	Revision of a currently approved collection	2014-06-12
201301-1625-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-03-13
201209-1625-003 Approved with change	Revision of a currently approved collection	2012-09-28
201109-1625-003 Withdrawn and continue	Revision of a currently approved collection	2012-06-29
201009-1625-009 Withdrawn and continue	Revision of a currently approved collection	2011-06-17
201002-1625-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2010-04-16
200909-1625-001 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2009-11-04
200803-1625-010 Approved with change	Extension without change of a currently approved collection	2009-04-08
200606-1625-001 Approved without change	Revision of a currently approved collection	2006-06-05
200512-1625-002 Approved without change	Revision of a currently approved collection	2005-12-21
200507-1625-005 Approved without change	Reinstatement with change of a previously approved collection	2005-07-18
200303-1625-042 Approved without change	Revision of a currently approved collection	2003-03-01