Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Employee training documentation Unchanged 69600 4475 0 Instruction
Employer documentation of refusal to provide blood, breath urine specimens for chemical test Unchanged 1 0 0 Instruction
Exemption from foreign laws Unchanged 1 0 0 Instruction
Periodic test result report Unchanged 87000 5593 0 Instruction
Positive chemical test report to OCMI Unchanged 40 10 0 Instruction
Positive drug/alcohol test report to OCMI. Unchanged 40 10 0 Instruction
Post accident determination documentation Unchanged 245 16 0 Instruction
Promulgating the policy requirement Unchanged 87 174 0 Instruction
Reasonable suspicion determination documentation Unchanged 79 5 0 Instruction
Refusal-to-test record (from reasonable suspicion) Unchanged 3 0 0 Instruction
Supervisor training documentation. Unchanged 17400 1119 0 Instruction
Written report of marine casualty Modified 4792 9584 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
Instruction
Total burden requested under this ICR: 179288 20986 0  
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