Seamen's Claims, Administrative Action and Litigation

ICR 202511-2133-001

OMB: 2133-0522

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
26671 Modified
ICR Details
2133-0522 202511-2133-001
Received in OIRA 202109-2133-001
DOT/MARAD
Seamen's Claims, Administrative Action and Litigation
Extension without change of a currently approved collection   No
Regular 12/22/2025
  Requested Previously Approved
36 Months From Approved 12/31/2025
15 15
188 188
0 0

This information collection allows MARAD to accept claims from respondents pursuant to MARAD regulations 46 CFR part 327 for injury or illness sustained while serving as masters or members of a crew on board a vessel owned or operated by the United States. MARAD personnel will review respondent's information and determine the extent of any agency liability and corresponding payment.

US Code: 46 USC 31101-31113 Name of Law: Public Vessel Act
   US Code: 46 USC 30901-30918 Name of Law: Suits in Admiralty Against the United States
  
None

Not associated with rulemaking

  90 FR 47901 10/02/2025
90 FR 58079 12/15/2025
No

1
IC Title Form No. Form Name
Seamen's Claims, Administrative Action and Litigation MA-2014 Seamen Claims Checklist Requirement

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 15 15 0 0 0 0
Annual Time Burden (Hours) 188 188 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$12,789
No
    Yes
    No
No
No
No
No
Cameryn Miller 202 366-0905

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/22/2025


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