View Information Collection (IC)

View Information Collection (IC)

Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
 
No Modified
 
Required to Obtain or Retain Benefits
 
46 CFR 10.105(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CG-719K Merchant Mariner Credential Medical Evaluation Report CG-719K_final draft to vendor_14Jun12.pdf Link will be provided upon OMB approval. Yes Yes Fillable Printable
Form and Instruction CG-719K/E Merchant Mariner Evaluation of Fitness for entry Level Ratings CG719KE.pdf Link will be provided upon OMB approval. Yes Yes Fillable Printable
Form and Instruction CG-719P DOT/USCG Periodic Drug Testing Form CG719P.pdf http://www.uscg.mil/forms Yes Yes Fillable Printable
Form and Instruction CG-719S Small Vessel Sea Service Form CG719S.pdf http://www.uscg.mil/forms Yes Yes Fillable Printable
Form and Instruction CG-719B APPLICATION FOR LICENSE AS OFFICER, STAFF OFFICER, OPERATOR, AND MERCHANT MARINER'S DOCUMENT CG719B.pdf http://www.uscg.mil/forms Yes Yes Fillable Printable

Transportation Water Transportation

Privacy Act of 1974: System of Records  65 FR 19476

68,500 0
   
Private Sector Businesses or other for-profits
 
   10 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 68,500 0 3,201 0 0 65,299
Annual IC Time Burden (Hours) 57,083 0 46,198 0 0 10,885
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.