USCG Academy Application and Supplemental Forms

ICR 201601-1625-002

OMB: 1625-0004

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2016-01-14
Supplementary Document
2016-01-14
Supplementary Document
2016-01-14
Supporting Statement A
2016-01-14
Supplementary Document
2011-12-21
Supplementary Document
2011-12-21
Supplementary Document
2011-12-07
Supplementary Document
2011-12-07
Supplementary Document
2011-12-07
Supplementary Document
2011-12-07
Supplementary Document
2011-12-07
IC Document Collections
ICR Details
1625-0004 201601-1625-002
Historical Active 201205-1625-008
DHS/USCG
USCG Academy Application and Supplemental Forms
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/29/2016
Retrieve Notice of Action (NOA) 01/28/2016
  Inventory as of this Action Requested Previously Approved
03/31/2019 36 Months From Approved
2,500 0 0
21,750 0 0
0 0 0

This collection contains the application and all supplemental forms required to be considered as an applicant to the United States Coast Guard Academy. Additional information may be requested, but no new or pre-existing OMB approved forms are used.

US Code: 14 USC 211 Name of Law: Original appointment of permanent commissioned officers
   US Code: 14 USC 181 Name of Law: Administration of Academy
  
None

Not associated with rulemaking

  80 FR 42510 07/17/2015
81 FR 1635 01/13/2016
No

1
IC Title Form No. Form Name
USCG Academy Application and Supplemental Forms CGA-14, CGA-14A, CGA-14B, CGA-14D Coast Guard Academy Forms

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,500 0 0 -2,000 0 4,500
Annual Time Burden (Hours) 21,750 0 0 -2,500 0 24,250
Annual Cost Burden (Dollars) 0 0 0 -2,500 0 2,500
No
Yes
Miscellaneous Actions
The change (i.e., decrease) in burden is a PROGRAM CHANGE. The decrease in burden hours is due to the discontinuation of CGA-14C, Coach/Physical Education Instructor Evaluation form. The decrease in burden cost is due to exclusive use of e-forms for online submission of all supplemental forms, so no information is required to be submitted via U.S. mail. Updates are provided for cost burden associated with this collection of information. Overall, this collection of forms is easier for the respondents to complete and record keepers to process compared to the previous collection due to the technology employed within the e-forms and online review of all applicants and supplemental forms by USCGA.

$130,200
No
No
No
No
No
Uncollected
Chris McMunn 8607016778

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/28/2016


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