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
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Written report of marine casualty
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
46 CFR 4.05-10
46 CFR 4.05-12
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
CG-2692 (03/16)
Report of Marine Casualty, Commercial Diving Casualty, or OCS-Related Casualty
CG-2692_03-16_w-exp.pdf
http://www.uscg.mil/forms
Yes
Yes
Fillable Printable
Form and Instruction
CG-2692A (03/16)
Barge Addendum
CG-2692A_03-16_w-exp.pdf
http://www.uscg.mil/forms
Yes
Yes
Fillable Printable
Form and Instruction
CG-2692B (03/16)
Report of Mandatory Chemical Testing Following a Serious Marine Incident Involving Vessels in Commercial Service
CG-2692B_03-16_w-exp.pdf
http://www.uscg.mil/forms
Yes
Yes
Fillable Printable
Form and Instruction
CG-2692C (03/16)
Personnel Casualty Addendum
CG-2692C_03-16_w-exp.pdf
http://www.uscg.mil/forms
Yes
Yes
Fillable Printable
Form and Instruction
CG-2692D (03/16)
Involved Persons and Witnesses Addendum
CG-2692D_03-16_w-exp.pdf
http://www.uscg.mil/forms
Yes
Yes
Fillable Printable
Instruction
1625-0001_Inst_r6_2016-inv.doc
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Water Transportation
Privacy Act System of Records
Title:
USCG (MISLE) System of Records
FR Citation:
74 FR 30305
Number of Respondents:
5,651
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
40 %
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
5,651
-316
316
-316
0
5,967
Annual IC Time Burden (Hours)
11,301
5,018
-5,022
-632
0
11,937
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.