Pre-Candidate Procedures

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form USMA-21-27 US Military Academy Candidate Questionnaire	Form	Modified	Available
Form USMA-21-12 Admissions Participant Personnel Information	Form	Modified	Available
Form USMA-450 Prospectus	Form	Modified	Repair queued
Form USMA-723 Candidate Address	Form	Modified	Available
Form USMA-375 West Point Admissions Request	Form	Modified	Available
Supporting Statement.pdf	Supporting Statement A	Uploaded 2009-10-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5159	Pre-Candidate Procedures	Form	Modified	US Military Academy Candidate Questionnaire
5159	Pre-Candidate Procedures	Form	Modified	Admissions Participant Personnel Information
5159	Pre-Candidate Procedures	Form	Modified	Prospectus
5159	Pre-Candidate Procedures	Form	Modified	Candidate Address
5159	Pre-Candidate Procedures	Form	Modified	West Point Admissions Request

ICR Details

OMB Control No: 0702-0060	ICR Reference No: 200910-0702-001
Status: Historical Active	Previous ICR Reference No: 200604-0702-002
Agency/Subagency: DOW/DOA	Agency Tracking No:
Title: Pre-Candidate Procedures
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
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/31/2009
Terms of Clearance: DOD needs to re-submit these forms before July 2010 at the 30 day notice stage. Please note the additional terms of clearance. DOD needs to do a better job providing instructions on the form itself -- dates are to be filled as dd/mm/yyyy, does the form need to be typed, all phone numbers need to include areas codes, do all questions need to be answered, what happens if people need to make changes to the form after they sign it, what happens if some believes they need additional space, etc? The form needs to also include the following information. 1. Purpose of the form. 2. What is the authority to collection this information? What is DOD's authority to ask for SSNs? 3. What is the process the applicant will go through -- this is less than a paragraph. 4. Who makes the final determination on eligibility -- and will the applicant have the opportunity to explain any information before a final decision is made? 5. Are there any penalties for inaccurate or false statements? 6. Disclosure of the information – DOD needs to describe who this information is going to be shared with and the privacy act routine uses 7. 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). On the West Point Admissions Request and the candidate address form – Please have them put the purpose of the form first. Also, can we write the privacy act and disclosure sections a bit less abruptly? Prospectus – There needs to be a purpose. Also, why do they need to collect a SSN? I’m not comfortable with the SSN being so visible on the form. Admissions Participant Personnel Information – needs a purposes and some other information describing the type of information folks will need to put it -- what are remarks supposed to be? For item 21 race will need some additional explanation – what are the options? For references, don’t you want phone numbers? Wouldn’t you want email addresses for folks as well as for the references? Also, for items 12 wouldn’t you want to give them more space or an extra sheet of paper if they had more than one school? Also, wouldn’t you want them to sign this saying this information is correct to the best of their knowledge and also letting them know what the appeal process is – if any – for any inaccurate information? Also, how long is the information val Candidate Questionnaire form – purpose needs to be written as well as a privacy act and disclosure release. The race and ethnicity group section will also need to be re-written to conform to OMB guidance. Please see http://www.whitehouse.gov/omb/fedreg_1997standards/. In particular, there should not be a category for other or unknown in the race groups and both the form and the instructions need to allow for more one race grouping to be picked.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved	12/31/2009
Responses	31,100	0	64,700
Time Burden (Hours)	27,717	0	8,203
Cost Burden (Dollars)	0	0	0

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Abstract: West Point candidates provide personal background information which allows the West Point Admissions Committee to make subjective judgements on non-academic experiences. Data are also used by West Point Office of Institutional Research for correlation with success in graduation and military careers.

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Authorizing Statute(s): US Code: 10 USC 4346
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 36680	07/24/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 36680	07/24/2009
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Pre-Candidate Procedures	USMA-21-27, USMA-375, USMA-723, USMA-450, USMA-21-12	West Point Admissions Request ,   Candidate Address ,   Prospectus ,   Admissions Participant Personnel Information ,   US Military Academy Candidate Questionnaire

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ICR Summary of Burden

table that charts list 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	31,100	64,700	0	0	-33,600	0
Annual Time Burden (Hours)	27,717	8,203	0	0	19,514	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: Burden increase because of adjustments in time to complete forms.

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Annual Cost to Federal Government: $54,667

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

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Common Form ICR:  No

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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

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