Information Collection

Air Force ROTC College Scholarship Application

IC 5097 under ICR 201308-0701-001 · OMB 0701-0101.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
On-line_Application.pdf	Other-On-line Application
Front Page of HSSP Application.pdf	Other-Front Page of HSSP Application
PA and Disclosure Statement.pdf	Other-PA and Disclosure Statement

IC Title:

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Front Page of HSSP Application and Disclosure	Front Page of HSSP Application.pdf	Yes	Yes	Fillable Fileable
Other-PA and Disclosure Statement	PA and Disclosure Statement.pdf	Yes	Yes	Fillable Fileable
Other-On-line Application	On-line_Application.pdf	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: F036 AETC J Four-Year Reserve Officer Training Corps (AFROTC) Scholarship Program Files

FR Citation: 62 FR 31793

Number of Respondents: 15,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15,000	-2,000	17,000
Annual IC Time Burden (Hours)	7,500	-1,000	8,500
Annual IC Cost Burden (Dollars)	67,500	-9,000	76,500

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.