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Safety Management System Checklist SMS Authority Approval
Mariner Cadet Training-Agreements, Compliance Reporting, and Audits
OMB: 2133-0553
IC ID: 250879
OMB.report
DOT/MARAD
OMB 2133-0553
ICR 202206-2133-001
IC 250879
( )
Documents and Forms
Document Name
Document Type
Form MA-1084
Safety Management System Checklist SMS Authority Approval
Form and Instruction
MA-1084 EMBARC_Checklist
20211221 EMBARC Checklist.docx
Form and Instruction
MA-1084 EMBARC_Checklist
20211221 EMBARC Checklist.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Safety Management System Checklist SMS Authority Approval
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
46 CFR 51322
46 CFR 50101 (a)(4)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
MA-1084
EMBARC_Checklist
20211221 EMBARC Checklist.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Water Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
35
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
35
0
0
0
0
35
Annual IC Time Burden (Hours)
70
0
0
0
0
70
Annual IC Cost Burden (Dollars)
2,199
0
2,199
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.