1625-0040 Calc-Sheet

1625-0040

Appendix A: Total Estimated Annual Burden on Industry
Respondents
MMC Applicants:
Med Cert Applicants:
Total:

72,233
18,060
90,293
Responses
per year

Burden
Hours /
Response

Annual
Hour
Burden

Wage
Rate

Annual
Cost
Burden

CG-719B

72,233

0.15

10,835

$38

$411,730

Application for Medical Certificate CG-719K

85,778

0.3

25,734

$38

$977,892

-513

0.3

-154

$38

-$5,852

Application for Medical Certificate, CG-719K/E
Short Form

4,515

0.167

753

$38

$28,614

Small Vessel Sea Service Form

72,233

0.25

18,059

$38

$686,242

72,233

0.083

6,020

$38

$228,760

3,612

0.167

603

$38

$22,914

Form/Req. Title
Application for Merchant Mariner
Credential (MMC)

Form
Number

Pilots Medical Certificate Final
Rule (1625-AC63)

CG-719S

DOT/USCG Periodic Drug Testing
CG-719P
Form
Disclosure Statement for
Narcotics, DWI/DUI, and/or Other CG-719C
Convictions
TOTAL

310,091

*Estimates may not sum due to rounding

Total Respondents

90,293

Total Responses

310,091

Total Hour Burden

61,850

Total Cost Burden

$2,350,300

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61,850

$2,350,300

1625-0040

Appendix B: Estimated Annual Federal Government Cost

Cost Element

Annual Cost

Direct Costs
Government Labor

$24,827,869

IT Systems & Desktop Support

$1,022,143

Federal Records Center/Postage

$232,697

Facility

$2,533,810

Other Operating Expenses

$2,064,677

Contractor Costs
Contracted Services

Total

$3,204,319
$33,885,515

Total
Total Cost

$33,885,515

*Estimates may not sum due to rounding

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