APPLICATION AND SUPPLEMENTARY FORMS FOR ADMISSION TO THE U.S. COAST GUARD ACADEMY

ICR 198411-2115-002

OMB: 2115-0012

Federal Form Document

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Document
Name
Status
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ICR Details
2115-0012 198411-2115-002
Historical Active 198407-2115-002
DOT/USCG
APPLICATION AND SUPPLEMENTARY FORMS FOR ADMISSION TO THE U.S. COAST GUARD ACADEMY
Revision of a currently approved collection   No
Regular
Approved without change 01/31/1985
Retrieve Notice of Action (NOA) 11/26/1984
  Inventory as of this Action Requested Previously Approved
12/31/1987 12/31/1987 07/31/1984
7,000 0 7,000
20,000 0 350
0 0 0

THE INFORMATION COLLECTION IS USED TO DETERMINE IF APPLICANTS ARE QUALIFIED TO ATTEND THE U.S. COAST GUARD ACADEMY. RESPONDENTS ARE GENERALLY COLLEGE BOUND MEN AND WOMEN BETWEEN 18 AND 22 YEARS OF AGE.

None
None


No

1
IC Title Form No. Form Name
APPLICATION AND SUPPLEMENTARY FORMS FOR ADMISSION TO THE U.S. COAST GUARD ACADEMY CGAD-634 CPM, CG-4151, CGAD-635 CPM, CGAD-618 CPM

  Total Approved 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 7,000 7,000 0 0 0 0
Annual Time Burden (Hours) 20,000 350 0 0 19,650 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
11/26/1984


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