Seamen's Claims, Administrative Action and Litigation

OMB 2133-0522

OMB 2133-0522

The information in this collection is required to evaluate injury claims made by seamen working aboard government-owned vessels. The response is voluntary by the seafarer, but would be required to evaluate injury claims made by seamen working aboard government-owned vessels to obtain a possible settlement with the government. The data collected is to obtain benefits. Claims are filed annually and/or as needed and must be in writing and in any form and mailed or emailed to the Maritime Administration, Director, Office of Marine Insurance. The information required is found in 46 CFR, Part 327. The collected information must meet the requirements stated in 46 CFR, Part 327. The Claims are kept on file (secured file cabinet) at MARAD's Office of Marine Insurance.

The latest form for Seamen's Claims, Administrative Action and Litigation expires 2021-11-30 and can be found here.

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