NROTC APPLICATION QUESTIONNAIRE

ICR 198606-0703-001

OMB: 0703-0028

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
108277 Migrated
ICR Details
0703-0028 198606-0703-001
Historical Active 198303-0703-002
DOD/NAVY
NROTC APPLICATION QUESTIONNAIRE
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/29/1986
Retrieve Notice of Action (NOA) 06/20/1986
Approval is contingent upon including language on the form that clarifies that race and ethnic information will only be used for statistical purposes.
  Inventory as of this Action Requested Previously Approved
05/31/1989 05/31/1989
40,000 0 0
13,300 0 0
0 0 0

USED TO COLLECT INFORMATION BY WHICH TO MAKE A DETERMINATION AS TO AN INDIVIDUAL'S BASIC ELIGIBILITY FOR THE NROTC SCHOLARSHIP PROGRAM.

None
None


No

1
IC Title Form No. Form Name
NROTC APPLICATION QUESTIONNAIRE NAVCRUIT, 1131/6

  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 40,000 0 0 0 40,000 0
Annual Time Burden (Hours) 13,300 0 0 0 13,300 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.
06/20/1986


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