View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1625-0040
ICR Reference No:
201409-1625-011
Status:
Historical Active
Previous ICR Reference No:
201301-1625-001
Agency/Subagency:
DHS/USCG
Agency Tracking No:
Title:
Application for Merchant Mariner Credential (MMC), Merchant Mariner Certificate Evaluation Report, Small Vessel Sea Service Form, DOT/USCG Periodic Drug Testing Form, Merchant Mariner Evaluation of Fi
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
04/30/2015
OIRA Conclusion Action:
Approved with change
Conclusion Date:
07/08/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/26/2015
Terms of Clearance:
The Department of Homeland Security's U.S. Coast Guard is reminded to comply with all public comment procedures of 5 CFR 1320 to continue to collect this information.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2016
6 Months From Approved
01/31/2016
Responses
56,500
0
56,500
Time Burden (Hours)
47,444
0
44,258
Cost Burden (Dollars)
0
0
0
Abstract:
IAW Title 46 CFR Parts 10, 11, 12, 13, and 16, the collection of this information is necessary to determine competency, character & physical qualifications for the issuance of a Merchant Mariner Credential (MMC) or Medical Certificate.
Emergency Justfication:
This request is being submitted in association with the Final Rule,RIN 1625–AA16, Implementation of the Amendments to the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, 1978,and Changes to National Endorsements
Authorizing Statute(s):
US Code:
46 USC Subtitle II, Part E
Name of Law: Mechant Seamen Licenses, Certificates, and Documents
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1625-AA16
Final or interim final rulemaking
78 FR 77796
12/24/2013
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
CG-719P (01/14), CG-719C (01/14), CG-719K (01/14), CG-719K/E (01/14), CG-719S (01/14), CG-719B
Application for Merchant Mariner Medical Certificate
,
Application for Merchant Mariner Medical Certificate for Entry Level Ratings
,
DOT/USCG Periodic Drug Testing Form
,
Small Vessel Sea Service Form
,
Disclosure Statement for Narcotics, DWI/DUI, AND/OR Other Convictions
,
Application for Merchant Mariner Credential (MMC)
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
56,500
56,500
0
0
0
0
Annual Time Burden (Hours)
47,444
44,258
0
0
3,186
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
There is an adjustment (increase) in the respondent's burden as a result of the 12,000 respondents (CG-719K & CG-719K/E) that were not accounted for in the last Supporting Statement, but were accounted for in the table above. . The optional form CG-719C will not contribute to a burden increase because the information was required to be provided previously by the applicant in a format of their choosing attached to the application. By instituting a form this will allow faster and more consistent processing and support the future movement to a wholly electronic application system.
Annual Cost to Federal Government:
$14,729,656
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Jesse Garrant 304 433-3472 Jesse.J.Garrant@uscg.mil
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
03/26/2015
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