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High School Transcript (HST)
United States Coast Guard Academy Introduction Mission Program Application and Supplemental Forms
OMB: 1625-0121
IC ID: 212519
OMB.report
DHS/USCG
OMB 1625-0121
ICR 201407-1625-001
IC 212519
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0121 can be found here:
2019-03-26 - Reinstatement with change of a previously approved collection
2018-02-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
1625-NEW AIM HS Transcript.pdf
Other-High School Documentation
1625-NEW Instruction.doc
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
High School Transcript (HST)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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
Other-High School Documentation
1625-NEW AIM HS Transcript.pdf
Yes
Yes
Fillable Fileable
Instruction
1625-NEW Instruction.doc
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Water Transportation
Privacy Act System of Records
Title:
Privacy Act of 1974; Department of Homeland Security United States Coast Guard DHS/USCG -- 027 Recruiting Files
FR Citation:
76 FR 49494
Number of Respondents:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
1,500
0
1,500
0
0
0
Annual IC Time Burden (Hours)
1,875
0
1,875
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.