[Federal Register: April 27, 2005 (Volume 70, Number 80)]
[Notices]
[Page 21806-21807]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr27ap05-121]
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DEPARTMENT OF HOMELAND SECURITY
Coast Guard
[USCG-2005-21003]
Collection of Information Under Review by Office of Management
and Budget (OMB): OMB Control Number: 1625-0040
AGENCY: Coast Guard, DHS.
ACTION: Request for comments.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, the
Coast Guard intends to seek the approval of OMB for the renewal of one
[[Page 21807]]
Information Collection Request (ICR). The ICR comprise 1625-0040,
Continuous Discharge Book, Merchant Mariner Application, Physical
Examination Report, Sea Service Report, Chemical Testing and Entry
Level Physical Report. Before submitting the ICR to OMB, the Coast
Guard is inviting comments as described below.
DATES: Comments must reach the Coast Guard on or before June 27, 2005.
ADDRESSES: To make sure that your comments and related material do not
enter the docket [USCG-2005-21003] more than once, please submit them
by only one of the following means:
(1) By mail to the Docket Management Facility, U.S. Department of
Transportation (DOT), room PL-401, 400 Seventh Street, SW., Washington,
DC 20590-0001.
(2) By delivery to room PL-401 on the Plaza level of the Nassif
Building, 400 Seventh Street, SW., Washington, DC, between 9 a.m. and 5
p.m., Monday through Friday, except Federal holidays. The telephone
number is 202-366-9329.
(3) By fax to the Docket Management Facility at 202-493-2251.
(4) Electronically through the Web Site for the Docket Management
System at http://dms.dot.gov.
The Docket Management Facility maintains the public docket for this
notice. Comments and material received from the public, as well as
documents mentioned in this notice as being available in the docket,
will become part of this docket and will be available for inspection or
copying in room PL-401 on the Plaza level of the Nassif Building, 400
Seventh Street, SW., Washington, DC, between 9 a.m. and 5 p.m., Monday
through Friday, except Federal holidays. You may also find this docket
on the Internet at http://dms.dot.gov.
Copies of the complete ICR are available through this docket on the
Internet at http://dms.dot.gov, and also from Commandant (CG-611), U.S.
Coast Guard Headquarters, room 6106 (Attn: Ms. Barbara Davis), 2100
Second Street, SW., Washington, DC 20593-0001. The telephone number is
202-267-2326.
FOR FURTHER INFORMATION CONTACT: Ms. Barbara Davis, Office of
Information Management, telephone 202-267-2326, or fax 202-267-4814 for
questions on the document; or telephone Ms. Andrea M. Jenkins, Program
Manager, Docket Operations, 202-366-0271, for questions on the docket.
SUPPLEMENTARY INFORMATION
Public Participation and Request for Comments
We encourage you to respond to this request for comment by
submitting comments and related materials. We will post all comments
received, without change, to http://dms.dot.gov, and they will include
any personal information you have provided. We have an agreement with
DOT to use the Docket Management Facility. Please see the paragraph on
DOT's ``Privacy Act Policy'' below.
Submitting comments: If you submit a comment, please include your
name and address, identify the docket number for this request for
comment [USCG-2005-21003], indicate the specific section of this
document to which each comment applies, and give the reason for each
comment. You may submit your comments and material by electronic means,
mail, fax, or delivery to the Docket Management Facility at the address
under ADDRESSES; but please submit them by only one means. If you
submit them by mail or delivery, submit them in an unbound format, no
larger than 8\1/2\ by 11 inches, suitable for copying and electronic
filing. If you submit them by mail and would like to know that they
reached the Facility, please enclose a stamped, self-addressed postcard
or envelope. We will consider all comments and material received during
the comment period. We may change the documents supporting this
collection of information or even the underlying requirements in view
of them.
Viewing comments and documents: To view comments, as well as
documents mentioned in this notice as being available in the docket, go
to http://dms.dot.gov at any time and conduct a simple search using the
docket number. You may also visit the Docket Management Facility in
room PL-401 on the Plaza level of the Nassif Building, 400 Seventh
Street, SW., Washington, DC, between 9 a.m. and 5 p.m., Monday through
Friday, except Federal holidays.
Privacy Act: Anyone can search the electronic form of all comments
received in dockets by the name of the individual submitting the
comment (or signing the comment, if submitted on behalf of an
association, business, labor union, etc.). You may review the Privacy
Act Statement of DOT in the Federal Register published on April 11,
2000 (65 FR 19477), or you may visit http://dms.dot.gov.
Information Collection Requests
1. Title: Continuous Discharge Book, Merchant Mariner Application,
Physical Examination Report, Sea Service Report, Chemical Testing and
Entry Level Physical Report.
OMB Control Number: 1625-0040.
Summary: Title 46, U.S.C. 7302(b) mandates that the Coast Guard may
issue a Continuous Discharge Book (CG Form 719A) upon request from an
individual. Title 46, CFR 10.205(a), 10.207(a), 10.209(a)(1) and 12.02-
9(a) mandate that each applicant for a license, certificate of registry
or merchant mariner document shall make written application on a Coast
Guard furnished form (CG Form 719B). Title 46, CFR 10.205(d),
10.207(e)(2), 10.209(d)(2), 12.05-5 and 12.15-5, mandate that each
applicant for a license or merchant mariner document shall present a
completed Coast Guard physical examination report (CG Form 719K)
executed by the physician. Title 46, CFR 10.211 mandates criteria (CG
Form 719S) for documenting sea service on vessels of less than 200
gross registered tons. Title 46, CFR 10.202(i) and 12.02-9(f) mandates
that each applicant shall produce evidence (CG Form 719P) of having
passed a chemical test for dangerous drugs. Title 46, CFR 12.02-17(e)
requires entry-level merchant mariner document applicants to provide a
statement (CG Form 719K/E) from a qualified practitioner attesting to
the applicant's medical fitness to perform the functions for which the
document is issued.
Need: The Coast Guard will use the information collected solely for
the purpose of determining eligibility for issuance of a merchant
mariner credential(s) that is, license, certificate of registry or
merchant mariner document.
Respondents: Merchant Mariners.
Frequency: On occasion.
Burden Estimate: The estimated burden has been increased from
21,358 hours to 21,875 hours a year.
Dated: April 20, 2005.
Dr. Nathaniel Heiner,
Acting, Assistant Commandant for Command, Control, Communications
Computers and Information Technology.
[FR Doc. 05-8452 Filed 4-26-05; 8:45 am]
BILLING CODE 4910-15-P