Information Collection

Army ROTC Referral Information

IC 5184 under ICR 200711-0702-001 · OMB 0702-0111.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0111 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ROTC CDT CMD Form Army ROTC Referral Information	Form
ROTC CDT CMD Form ROTC PROSPECT REFERRAL FORM ROTC Form 155-R.pdf	Form

IC Title:

Army ROTC Referral Information

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ROTC CDT CMD Form 155-R	ROTC PROSPECT REFERRAL FORM	ROTC Form 155-R.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: A0145-1 TRADOC

FR Citation: 66 FR 23899

Number of Respondents: 16,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	16,300	16,300
Annual IC Time Burden (Hours)	4,075	4,075
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.