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USCG Academy Application and Supplemental Forms
USCG Academy Application and Supplemental Forms
OMB: 1625-0004
IC ID: 20447
OMB.report
DHS/USCG
OMB 1625-0004
ICR 201109-1625-001
IC 20447
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0004 can be found here:
2016-01-28 - Reinstatement with change of a previously approved collection
2012-05-22 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CGA-14, CGA-14A, C
USCG Academy Application and Supplemental Forms
Form
1625-0004 Instructions.doc
Instruction
CGA-14, CGA-14A, C Coast Guard Academy Forms
1625-0004 USCGA Application and Supplemental Forms.pdf
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, CGA-14A, CGA-14B, CGA-14C, CGA-14D
Coast Guard Academy Forms
1625-0004 USCGA Application and Supplemental Forms.pdf
Yes
Yes
Fillable Printable
Instruction
1625-0004 Instructions.doc
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Education
Subfunction:
Higher Education
Privacy Act System of Records
Title:
USCG Military Pay and Personnel System of Records
FR Citation:
73 FR 77743
Number of Respondents:
4,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
4,500
0
0
500
0
4,000
Annual IC Time Burden (Hours)
11,500
0
0
3,400
0
8,100
Annual IC Cost Burden (Dollars)
2,500
0
0
2,500
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.