U.S. Coast Guard Academy Preliminary Application and Supplemental Forms

ICR 200303-1625-006

OMB: 1625-0004

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1625-0004 200303-1625-006
Historical Active 200101-2115-003
DHS/USCG
U.S. Coast Guard Academy Preliminary Application and Supplemental Forms
Extension without change of a currently approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
  Inventory as of this Action Requested Previously Approved
02/29/2004 02/29/2004
13,600 0 0
6,640 0 0
0 0 0

Information used to process and determine which students would be eligible to attend the Academy. Respondents are between the ages of 17 and 23. *BI (Background Information), EQ (Essay questions), EIE (English Instructor Eval), MIE (Math Instructor Eval) & PE (PE Instructor/Coach Eval)

None
None


No

1
IC Title Form No. Form Name
U.S. Coast Guard Academy Preliminary Application and Supplemental Forms

  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 13,600 0 0 13,600 0 0
Annual Time Burden (Hours) 6,640 0 0 6,640 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
03/01/2003


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