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OMB Control No: 1625-0040	ICR Reference No: 202602-1625-006
Status: Received in OIRA	Previous ICR Reference No: 202508-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Applications for Merchant Mariner Credentials and Medical Certificates
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/02/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2028
Responses	286,298	310,713
Time Burden (Hours)	57,333	62,006
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	286,298	310,713	-24,415
Annual Time Burden (Hours)	57,333	62,006	-4,673
Annual Cost Burden (Dollars)	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: The change in burden is both a PROGRAM CHANGE and an ADJUSTMENT, as detailed below: • Program Change – increase of 341 hours – due to inclusion of 2 forms. Specifically— o CG-718D, an optional form to obtain a duplicate MMC or Medical Certificate. o CG-718A, a form previously accounted for under 1625-0012. The Coast Guard is consolidating 1625-0012 into this collection, as the Certificate of Discharge to Merchant Mariner is used by Coast Guard personnel to evaluate an applicant for a MMC. • Adjustment – decrease of 5,014 hours – due to a decrease in the estimated annual number of responses from 310,713 to 286,298. Except as noted above, the reporting and recordkeeping requirements, and methodology for calculating burden, remain unchanged.

Annual Cost to Federal Government: $35,643,786

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Michael Toth 304 433-3729 michael.p.toth2@uscg.mil

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