Information Collection

U.S. Army ROTC 4-year College Scholarship Application (for High School Students)

IC 5170 under ICR 201401-0702-001 · OMB 0702-0073.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Parental Information Screen Shots.pdf	Other-Parental Information Screen Sh
Agency_Disclosure_Notice - HQ - USACC.doc	Other-Agency Disclosure Screen Shots
Screen Shots.pdf	Other-Screen Shots

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-Parental Information Screen Shots	Parental Information Screen Shots.pdf	Yes	Yes	Fillable Fileable
Other-Agency Disclosure Screen Shots	Agency_Disclosure_Notice - HQ - USACC.doc	Yes	Yes	Fillable Fileable
Other-Screen Shots	Screen Shots.pdf	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: A0145-1 TRADOC

FR Citation: 66 FR 23899

Number of Respondents: 11,369

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	Previously Approved
Annual Number of Responses for this IC	11,369	-2,139	13,508
Annual IC Time Burden (Hours)	8,527	-1,604	10,131
Annual IC Cost Burden (Dollars)	200,616	200,616	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.