Information Collection

USCG Academy Application and Supplemental Forms

IC 20447 under ICR 201109-1625-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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, 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

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, 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

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 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,500	500	4,000
Annual IC Time Burden (Hours)	11,500	3,400	8,100
Annual IC Cost Burden (Dollars)	2,500	2,500	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.