OMB
.report
Search
CG-719C Disclosure Statement for Narcotics, DWI/DUI, and/or Othe
Application for Merchant Mariner Credentials and Medical Certificates
CG719C (002)
Continuous Discharge Book, Application, Physical Exam Report, Sea Service Report, Chemical Testing, Entry Lvl Physical
OMB: 1625-0040
OMB.report
DHS/USCG
OMB 1625-0040
ICR 202502-1625-004
IC 43932
CG-719C Disclosure Statement for Narcotics, DWI/DUI, and/or Othe
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1625-0040 can be found here:
2025-05-19 - Revision of a currently approved collection
Document [file]
Download:
file
|
pdf
File Type
inode/x-empty
© 2025 OMB.report |
Privacy Policy