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  
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