Information Collection

Army ROTC Referral Information

IC 5184 under ICR 201403-0702-001 · OMB 0702-0111.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Agency_Disclosure_Statement_goarmy.com.png	Other-ScreenShot - ADN
GoArmy Refferal Form - Revised.pptx	Other-Screenshot

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Other-Screenshot			GoArmy Refferal Form - Revised.pptx		Yes	Yes	Fillable Fileable
Other-ScreenShot - ADN			Agency_Disclosure_Statement_goarmy.com.png		Yes	Yes	Printable Only

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: 21,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21,000	4,700	16,300
Annual IC Time Burden (Hours)	5,250	1,175	4,075
Annual IC Cost Burden (Dollars)	38,010	38,010	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.