United States Air Force Academy Candidate Writing Sample

Forms and Documents

Document Name	Status
Form USAFA-0-878 United States Air Force Academy Candidate Writing Sample Form	Modified
Supporting Statement.pdf Supporting Statement A	2009-10-31

IC Document Collections

IC ID	Document Title	Status
5138	United States Air Force Academy Candidate Writing Sample Form	Modified

ICR Details

OMB Control No: 0701-0147	ICR Reference No: 200910-0701-001
Status: Historical Active	Previous ICR Reference No: 200605-0701-001
Agency/Subagency: DOD/AF	Agency Tracking No:
Title: United States Air Force Academy Candidate Writing Sample
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/15/2009
	Date Received in OIRA: 10/31/2009
Terms of Clearance: This collection is cleared for 6 months with the following terms of clearance. DOD needs to re-submit this collection at the 30 notice stage before July 2010. The revised package and form should contain the following. 1. The purpose of the form -- What is the authority to collection this information? What is DOD’s authority to ask for SSNs in this case. 2. The process the applicant will go through. 3. A discussion of the disclosure of the information – DOD needs to describe who this information is going to be shared with and the privacy act routine uses 4. An authorization for release of the information -- this needs to include a signature -- as well as how long the authorization is valid (probably not more than a year).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved	12/31/2009
Responses	4,100	0	4,100
Time Burden (Hours)	4,100	0	4,100
Cost Burden (Dollars)	0	0	0

---

Abstract: This form is used to collect data on U.S. Air Force Academy applicants to assess their qualifications for admission to the Air Foce Academy. The writing sample is used to evaluate background and aptitude of commissioned service.

---

Authorizing Statute(s): US Code: 10 USC 9346 Name of Law: null
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 38424	08/03/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 38424	08/03/2009
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
United States Air Force Academy Candidate Writing Sample	USAFA-0-878	United States Air Force Academy Candidate Writing Sample

---

ICR Summary of Burden

	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	4,100	4,100	0	0	0	0
Annual Time Burden (Hours)	4,100	4,100	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $25,366

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/31/2009

---