USCG Academy Application and Supplemental Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0004 can be found here:

Documents and Forms

Document Name Document Type
Form CGA-14 USCG Academy Application and Supplemental Forms Form
CGA-14 English Instructor Evaluation CGA-14.pdf www.uscg.mil/forms Form
CGA-14A High School Transcript CGA-14A.pdf www.uscg.mil/forms Form
CGA-14B Math Instruction Evaluation CGA-14B.pdf www.uscg.mil/forms Form
CGA-14C Coach or P.E. Instructor Evaluation CGA-14C.pdf www.uscg.mil/forms Form
CGA-14D Physical Fitness Exam (PFE) Scoring Form CGA-14D.pdf www.uscg.mil/forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	USCG Academy Application and Supplemental Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CGA-14	English Instructor Evaluation	CGA-14.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	CGA-14A	High School Transcript	CGA-14A.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	CGA-14B	Math Instruction Evaluation	CGA-14B.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	CGA-14C	Coach or P.E. Instructor Evaluation	CGA-14C.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable
Form	CGA-14D	Physical Fitness Exam (PFE) Scoring Form	CGA-14D.pdf	http://www.uscg.mil/forms	Yes	Yes	Fillable Printable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,000	0	4,000
Annual IC Time Burden (Hours)	8,100	-200	8,300
Annual IC Cost Burden (Dollars)	0	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.