PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
Modified
56500
47444
0
Instruction
Form and Instruction
CG-719K (01/14)
Application for Merchant Mariner Medical Certificate
Form and Instruction
CG-719K/E (01/14)
Application for Merchant Mariner Medical Certificate for Entry Level Ratings
Form and Instruction
CG-719P (01/14)
DOT/USCG Periodic Drug Testing Form
Form and Instruction
CG-719S (01/14)
Small Vessel Sea Service Form
Form and Instruction
CG-719C (01/14)
Disclosure Statement for Narcotics, DWI/DUI, AND/OR Other Convictions
Form and Instruction
CG-719B
Application for Merchant Mariner Credential (MMC)
Total burden requested under this ICR:
56500
47444
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
