Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement.pdf	Supporting Statement A	Uploaded 2010-12-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Other-FORMS	Modified

ICR Details

OMB Control No: 0703-0026	ICR Reference No: 201012-0703-003
Status: Historical Active	Previous ICR Reference No: 200707-0703-001
Agency/Subagency: DOD/NAVY	Agency Tracking No:
Title: Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program
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: 01/19/2011
	Date Received in OIRA: 12/19/2010
Terms of Clearance: This collection is approved with the following terms of clearance. DOD must resubmit this collection in one year with a revised privacy act statement which more clearly describes the routine use of this information. A revised PRA statement must also be available on all forms associated with this collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2012	36 Months From Approved	01/31/2011
Responses	14,000	0	14,000
Time Burden (Hours)	56,000	0	56,000
Cost Burden (Dollars)	0	0	0

---

Abstract: The information collected is used by a selection board to determine an applicant's academic and leadership potential for an NROTC Scholarship. Information is provided by the applicant, high school administrators and teachers and other adults well acquainted with the applicant. Booklet includes forms: NSTC 1533; CNET 1533/02, 1533/74, 1533/87, 1533/88, 1533/89, 1533/91, 1533/92, 1533/93; NAVCRUITE 1100/32.

---

Authorizing Statute(s): US Code: 10 USC 2107 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:
	75 FR 60435	09/30/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 60435	09/30/2010
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program

---

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	14,000	14,000	0	0	0	0
Annual Time Burden (Hours)	56,000	56,000	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: $52,240

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 12/19/2010

---