Information Collection

USCG Academy Application and Supplemental Forms

IC 20447 under ICR 201601-1625-002 · OMB 1625-0004.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0004 Online Application.pdf	Other-Online Application
1625-0004 Instruction.doc	Instruction
CGA-14, CGA-14A, C Coast Guard Academy Forms 1625-0004 USCGA Apllication and Supplemental Forms.pdf	Form

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: 33 CFR 40.1

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online Application			1625-0004 Online Application.pdf	Yes	Yes	Fillable Printable
Form	CGA-14, CGA-14A, CGA-14B, CGA-14D	Coast Guard Academy Forms	1625-0004 USCGA Apllication and Supplemental Forms.pdf	Yes	Yes	Fillable Printable
Instruction			1625-0004 Instruction.doc	Yes	Yes	Printable Only

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: USCG Military Pay and Personnel System of Records

FR Citation: 73 FR 77743

Number of Respondents: 2,500

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	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,500	-2,000	4,500
Annual IC Time Burden (Hours)	21,750	-2,500	24,250
Annual IC Cost Burden (Dollars)	0	-2,500	2,500

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.