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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Employee training documentation
New
69600
4475
0
Employer documentation of refusal to provide blood, breath urine specimens for chemical test
New
1
0
0
Exemption from foreign laws
New
1
0
0
Periodic test result report
New
87000
5593
0
Positive chemical test report to OCMI
New
40
10
0
Positive drug/alcohol test report to OCMI.
New
40
10
0
Post accident determination documentation
New
245
16
0
Promulgating the policy requirement
New
87
174
0
Reasonable suspicion determination documentation
New
79
5
0
Refusal-to-test record (from reasonable suspicion)
New
3
0
0
Supervisor training documentation.
New
17400
1119
0
Written report of marine casualty
Modified
4351
4351
0
Form
CG-2692
Report of Marine Accident, Injury or Death
Form
CG-2692A
Barge Addendum
Form
CG-2692B
Report of Required Chemical Drug and Alcohol Testing Following a Serious Marine Incident
Total burden requested under this ICR:
178847
15753
0
To view an IC, click on IC Title