Academic Certification for Marine Corps Officer Candidate Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NAVMC Form 10469 Academic Certification for Marine Corps Officer Candidate Program	Form and Instruction	Modified	Available
OMB 0703-0011_DRAFT PIA.PDF	Supplementary Document	Uploaded 2017-01-27	Available
MCRCO 1100.2, Marine Corps Recruiting Command Officer Commissioning Manual (MCRC OCM).pdf	Supplementary Document	Uploaded 2017-01-27	Available
MCO 1130.76C, Conduct of Recruiting Operations.pdf	Supplementary Document	Uploaded 2017-01-27	Available
SSN REDUCTION REVIEW FORM NAVMC 10469.pdf	Supplementary Document	Uploaded 2017-01-27	Available
Supporting Statement A_0703-0011.doc	Supporting Statement A	Uploaded 2017-01-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5204	Academic Certification for Marine Corps Officer Candidate Program	Form and Instruction	Modified

ICR Details

OMB Control No: 0703-0011	ICR Reference No: 201701-0703-001
Status: Historical Active	Previous ICR Reference No: 200803-0703-002
Agency/Subagency: DOD/NAVY	Agency Tracking No:
Title: Academic Certification for Marine Corps Officer Candidate Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/19/2017
	Date Received in OIRA: 02/02/2017
Terms of Clearance: This collection is approved with the following terms of clearance. DOD will report this collection in the Information Collection Budget. DOD will resubmit the collection in two years with a revised privacy act notice which provides more explanation of the routine uses for the data collected.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved
Responses	3,500	0	0
Time Burden (Hours)	875	0	0
Cost Burden (Dollars)	14,218	0	0

---

Abstract: The Marine Corps Officer Selection Officer (OSO) will submit the completed original NAVMC Form 10469 with the officer applications for the Platoon Leaders Class and Officer Candidate Course (OCC) Programs, when the applicant has not yet completed the requirements for a degree. This form is to be completed by a school official of the applicant’s college or university and verified by the OSO. Use of this form is the only accurate and specific method to determine an officer applicant’s academic qualifications.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 61192	10/09/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 8611	01/27/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Academic Certification for Marine Corps Officer Candidate Program	NAVMC Form 10469	Academic Certification for Marine Corps Officer Candidate Program

---

ICR Summary of Burden

table that charts list of burden

	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	3,500	0	0	0	-500	4,000
Annual Time Burden (Hours)	875	0	0	0	-125	1,000
Annual Cost Burden (Dollars)	14,218	0	0	0	-12,942	27,160

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There has been a change in burden hours requested since the last OMB approval. After reevaluating the program, it was determined that a lower number of burden hours and responses are required, due to the mission drawdown and also because the responses have decreased from 4,000 to 3,500.

---

Annual Cost to Federal Government: $15,099

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/02/2017

---