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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.