Applications for Merchant Mariner Credentials and Medical Certificates

OMB 1625-0040

OMB 1625-0040

IAW Title 46 CFR Parts 10, 11, 12, 13, and 16, the collection of this information is necessary to determine competency, character & physical qualifications for the issuance of a Merchant Mariner Credential (MMC) or Medical Certificate.

The latest form for Applications for Merchant Mariner Credentials and Medical Certificates expires 2021-03-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2024-01-26
Approved with change
Extension without change of a currently approved collection 2021-03-11
Approved without change
Reinstatement with change of a previously approved collection 2018-03-01
Approved with change
Revision of a currently approved collection 2015-03-26
Improperly submitted and continue
Revision of a currently approved collection 2014-06-12
Approved without change
No material or nonsubstantive change to a currently approved collection 2014-03-13
Approved with change
Revision of a currently approved collection 2012-09-28
Withdrawn and continue
Revision of a currently approved collection 2012-06-29
Withdrawn and continue
Revision of a currently approved collection 2011-06-17
Approved without change
No material or nonsubstantive change to a currently approved collection 2010-04-16
Withdrawn and continue
No material or nonsubstantive change to a currently approved collection 2009-11-04
Approved with change
Extension without change of a currently approved collection 2009-04-08
Approved without change
Revision of a currently approved collection 2006-06-05
Approved without change
Revision of a currently approved collection 2005-12-21
Approved without change
Reinstatement with change of a previously approved collection 2005-07-18
Approved without change
Revision of a currently approved collection 2003-03-01

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