Form MA-1082 Mariner PrepEx Survey

OMB 2133-0550
Expiration Date: XX/XX/XXXX
Survey Questions
Maritime Administration (MARAD) Mariner Preparedness Exercise (PrepEx) Survey (MARAD
Mariner PrepEx Survey
This mariner survey is part of the U.S. Department of Transportation's Maritime Administration's Mariner
Preparedness Exercise Program. Please complete and submit this survey within 10 days of this email.
This request is in accordance with the Paperwork Reduction Act of 1995. The information you provide will be
used in strategic planning of crew training and certifications, and vessel activation policies. The OMB Control
Number for this information collection is 2133-0550. The estimated average burden associated with this
collection of information is approximately 5 minutes per response, including the time for reviewing
instructions, completing, and reviewing the collection of information. All responses to this collection of
information are voluntary. Comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to: Information Collections Clearance Officer,
Maritime Administration, MAR-390, 1200 New Jersey Avenue SE, Washington, DC 20590. An agency may
not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays
a current valid Office of Management and Budget control number.
1.Do you understand that for some cargo voyages for the Department of Defense, your ability to communicate
by telephone, e-mail, social media, and all other electronic means from the ship may be restricted?
Yes
No
2.Would you be willing to surrender your phone, tablet, or other means of communicating electronically from
a ship, if needed for the security of the ship and shipmates?
Yes
No
3.Would you be willing to receive vaccinations or inoculations from the military to protect you from harmful
disease or contagions?
Yes
No
4.Are you aware that while on a military cargo mission you could be sailing into a contested environment and
your ship could be actively targeted for destruction by an adversary while underway?
Yes
No
5. Are you aware that you could earn imminent danger pay for some military cargo missions?
Yes
No
6.Would imminent danger pay influence you to accept assignment for a military cargo mission on a merchant
or Government owned vessel?

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Yes
No
7.When was the last time you attended a Chemical, Biological, Radiological and Nuclear (CBRN) Defense
course of instruction?
Never attended
Within the last 6 months
Within the last year
Within the last 5 years
Greater than 5 years ago
8.When was the last time you attended a Damage Control (DC) course of instruction?
Never attended
Within the last 6 months
Within the last year
Within the last 5 years
Greater than 5 years ago
9.For Officers in Charge of a Navigation Watch ONLY: Are you familiar with Chapter 8 of the Radio
Navigational Aids (NGA Publication 117)?
N/A
Yes
No
10.For Officers in Charge of a Navigation Watch ONLY: Do you have experience on a merchant ship
operating in coordination with Naval Cooperation and Guidance for Shipping (NCAGS)?
N/A
Yes
No
11.For Officers in Charge of a Navigation Watch ONLY: Are you familiar with the terminology and
requirements for Operational Security (OPSEC)?
N/A
Yes
No
12.For Officers in Charge of a Navigation Watch ONLY: Are you familiar with the term Military Deception
(MILDEC)?
N/A
Yes
No
13.For Officers in Charge of a Navigation Watch ONLY: Do you have experience maneuvering merchant
ships or Government-owned ships in convoy?

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N/A
Yes
No
14.For Officers in Charge of a Navigation Watch ONLY: Do you have experience as a Navy officer or Coast
Guard officer in the active or reserve components of the military?
N/A
Yes (Navy)
Yes (Coast Guard)
No experience as a Navy or Coast Guard Officer
15.For Officers in Charge of a Navigation Watch ONLY: If you answered YES to question 14, how much sea
time did you accrue?
N/A
1-6 months
6-12 months
12-18 months
18-24 months
Greater than 24 months
16.For Officers in Charge of a Navigation Watch ONLY: Do you have a current security clearance with the
U.S. Government?
N/A
Yes, within the past 5 years
Yes, within the past 10 years
No, never held a security clearance
17.For Officers in Charge of a Navigation Watch ONLY: If you answered YES to question 16, what level
clearance did you possess?
N/A
Secret
Top Secret
18.For Officers in Charge of a Navigation Watch ONLY: Have you completed the Information Systems
Security Awareness for Mariners computer-based training from the Ship Operations Cooperative Program
(SOCP)? (also known as Cybersecurity for Mariners)
N/A
Yes
No
19.For All Mariners: Please provide any comments or concerns related to crewing MARAD RRF ships. Thank
you for participating in the MARAD Mariner Survey.

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