GOCOASTGUARD.COM Prospect Questionnaire, Chat Now Questionnaire, and The Officer Program Application.

Forms and Documents

Document Name	Status
Form CGRC-1132 (02/17) U.S. Coast Guard "Chat Now" Questionnaire Form	New
Form CGRC-1131 (02/17) U.S. Coast Guard Officer Program Application Form	New
Form CGRC-1130 (01/17) United States Coast Guard Prospect Questionnaire with Instructions Form and Instruction	New
1625-New_30-Day FR Notice_82FR 49039_20171023.doc Supplementary Document	2017-11-15
1625-NEW_60-Day FR Notice_82 FR 33140_20170719.doc Supplementary Document	2017-11-15
PTA, USCG - United States Coast Guard Prospect Questionnaire, 20170331, PRIV Final.pdf Supplementary Document	2017-11-15
PTA, USCG - United States Coast Guard Officer Program Application, 20170331, PRIV Final.pdf Supplementary Document	2017-11-15
PTA, USCG - United States Coast Guard “Chat Now” Questionnaire, 20170331, PRIV Final.pdf Supplementary Document	2017-11-15
DHS_USCG_014 Military Pay_Personnel SORN_20111028.pdf Supplementary Document	2017-11-15
privacy-pia-uscg-024 direct access-november2016.pdf Supplementary Document	2017-11-15
USCODE-2011-title10-subtitleA-partII-chap31-sec503.pdf Supplementary Document	2017-11-15
USCODE-2012-title14-partI-chap13-sec468.pdf Supplementary Document	2017-11-15
1625-new_SS_r1_2017.doc Supporting Statement A	2017-12-01

IC Document Collections

IC ID	Document Title	Status
229290	U.S. Coast Guard "Chat Now" Questionnaire Form	New
229289	U.S. Coast Guard Officer Program Application Form	New
229233	United States Coast Guard Prospect Questionnaire with Instructions Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 201711-1625-004
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: GOCOASTGUARD.COM Prospect Questionnaire, Chat Now Questionnaire, and The Officer Program Application.
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 05/22/2018
	Date Received in OIRA: 01/02/2018
Terms of Clearance: Coast Guard should resubmit this information collection request once it has provided appropriate privacy disclosures and supporting justification.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Approximately 50,000 prospects and/or centers of influence visit US Coast Guard recruiting website gocoastguard.com for information about US Coast Guard enlisted and officer opportunities. The Coast Guard uses the information from applicants completing the these forms to conduct initial screenings on their eligibility.

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Authorizing Statute(s): US Code: 14 USC 468 Name of Law: Procurement of Personnel
   US Code: 10 USC 503 Name of Law: Enlistments: Recruiting Campaigns; Compilation of Directory Information
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 33140	07/19/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 49039	10/23/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
U.S. Coast Guard Officer Program Application	CGRC-1131 (02/17)	U.S. Coast Guard Officer Program Application
U.S. Coast Guard "Chat Now" Questionnaire	CGRC-1132 (02/17)	U.S. Coast Guard "Chat Now" Questionnaire
United States Coast Guard Prospect Questionnaire with Instructions	CGRC-1130 (01/17)	United States Coast Guard Prospect Questionnaire /Instructions

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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: This is a new collection.

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Annual Cost to Federal Government: $0

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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

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Common Form ICR:  No

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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: 01/02/2018

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