Applications for Merchant Mariner Credentials and Medical Certificates

Forms and Documents

Document Name	Status
1625-0040_SS_r0_2023_calc-sheet_pmc-fr_App_A-to-B.pdf Supplementary Document	2025-05-19
DHS_USCG_030 Merchant Seamens Records_20090625_74 FR 30308 (1).docx Supplementary Document	2025-05-19
privacy-pia-uscg-015-MMLDS-2011 (1).pdf Supplementary Document	2025-05-19
46 CFR Part 16.pdf Supplementary Document	2025-05-19
46 CFR Part 12.pdf Supplementary Document	2025-05-19
46 CFR Part 11.pdf Supplementary Document	2025-05-19
46 CFR Part 10.pdf Supplementary Document	2025-05-19
1625-0040_SS_r1_2025_pmc-fr.docx Supporting Statement A	2025-05-19

IC Document Collections

IC ID	Document Title	Status
43932	Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical Instruction	Modified

ICR Details

OMB Control No: 1625-0040	ICR Reference No: 202505-1625-001
Status: Received in OIRA	Previous ICR Reference No: 202102-1625-008
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: 05/19/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2026
Responses	310,091	310,604
Time Burden (Hours)	61,850	62,004
Cost Burden (Dollars)	0	0

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Abstract: In accordance with 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.

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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

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1625-AC63	Final or interim final rulemaking	87 FR 66575	11/04/2022

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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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-719B, CG-719S, CG-719C, CG-719K, CG-719P, CG-719K/E	Application for Merchant Mariner Credential ,   Disclosure Statement for Narcotics, DWI/DUI, and/or Other Convictions ,   Application for Medical Certificate ,   Application for Medical Certificate, Short Form ,   DOT/USCG Periodic Drug Testing Form ,   Small Vessel Sea Service Form

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ICR Summary of Burden

	Total Request	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	310,091	310,604	0	-513	0	0
Annual Time Burden (Hours)	61,850	62,004	0	-154	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The change in burden is a PROGRAM CHANGE due to the 1625-AC63 PMC rulemaking. • Program Change – decrease of 154 hours – is due to the change (i.e., extension from 2 to 5 years) of the validity period of medical certificates for certain mariners. The reporting and recordkeeping requirements, and the methodology for calculating burden, remain unchanged. In addition to the rulemaking Program Change above, the Coast Guard in April 2025 decommissioned the Homeport website. This site provided, among other things, a web-based method for mariners to "check" on their credential application status. While this method is no longer available, the Coast Guard provides "status checks" via phone, email and Live Chat. Details are at—Homeport. Status checks are not a required element of credential application process, and the Coast Guard considers the removal of the Homeport web-based method as imposing no extra burden to mariners.

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Annual Cost to Federal Government: $33,885,515

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

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Common Form ICR:  No

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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: 05/19/2025

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