Written report of marine casualty

Marine Casualty Information & Periodic Chemical Drug and Alcohol Testing of Commercial Vessel Personnel

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0001 can be found here:

Documents and Forms

Document Name Document Type
Form CG-2692 Written report of marine casualty Form
CG-2692 Report of Marine Accident, Injury or Death CG-2692.pdf www.uscg.mil/forms Form
CG-2692A Barge Addendum CG-2692A.pdf www.uscg.mil/forms Form
CG-2692B Report of Required Chemical Drug and Alcohol Testing Fol CG-2692B.pdf www.uscg.mil/forms Form

Information Collection (IC) Details

IC Title:	Written report of marine casualty	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR Part 4 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CG-2692	Report of Marine Accident, Injury or Death	CG-2692.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	CG-2692A	Barge Addendum	CG-2692A.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	CG-2692B	Report of Required Chemical Drug and Alcohol Testing Following a Serious Marine Incident	CG-2692B.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,351	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,351	-177,664	182,015
Annual IC Time Burden (Hours)	4,351	-14,525	18,876
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.