Information Collection

USCG Academy Application and Supplemental Forms

IC 20447 under ICR 200804-1625-004 · OMB 1625-0004.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.