United States Coast Guard Academy Introduction Mission Program Application and Supplemental Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
DHS_USCG_027_Recruting Files_20110810_76FR49494.doc	Supplementary Document	Uploaded 2018-02-27	Available
DHS_USCG_014_Military Pay_Personnel_20111028_76FR66933.doc	Supplementary Document	Uploaded 2018-02-27	Available
privacy_pia_013_uscg_acadis_2010.pdf	Supplementary Document	Uploaded 2018-02-27	Available
privacy_pia_009_uscg_core_2009.pdf	Supplementary Document	Uploaded 2018-02-27	Available
privacy-pia-dhs-gcl-august2017.pdf	Supplementary Document	Uploaded 2018-02-27	Available
1625-0121_30-Day FR Notice_83 FR 4228_20180130.doc	Supplementary Document	Uploaded 2018-02-27	Available
1625-0121_60-Day FR Notice_82 FR 55386_20171121.doc	Supplementary Document	Uploaded 2018-02-27	Available
PTA, USCG - Academy Introduction Mission (AIM) Travel Update Form, 20170713, PRIV Final.pdf	Supplementary Document	Uploaded 2018-02-27	Available
PTA, USCG - AIM Scholarship Request, 20171004, PRIV Final.pdf	Supplementary Document	Uploaded 2018-02-27	Available
PTA, USCG - AIM Medical Release, 20170719, PRIV final.pdf	Supplementary Document	Uploaded 2018-02-27	Available
USCODE-2009-title14-partI-chap9-sec182.pdf	Supplementary Document	Uploaded 2018-02-27	Available
USCODE-2009-title14-partI-chap9-sec181a.pdf	Supplementary Document	Uploaded 2018-02-27	Available
1625-0121_Supporting Statement_r1_2017.doc	Supporting Statement A	Uploaded 2018-02-27	Available
1625-NEW Military Pay and Personnel System of Records Notice - 014.pdf	Supplementary Document	Uploaded 2014-08-05	Available
1625-NEW Recruiting Files System of Records Notice - 027.pdf	Supplementary Document	Uploaded 2014-08-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212520	Personal Reference (PR)	Other-Personal Recommendation Request	Modified
212519	High School Transcript (HST)	Other-High School Documentation	Modified
212509	Online Application (OA)	Instruction	Modified

ICR Details

OMB Control No: 1625-0121	ICR Reference No: 201802-1625-003
Status: Historical Inactive	Previous ICR Reference No: 201407-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: United States Coast Guard Academy Introduction Mission Program Application and Supplemental Forms
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 05/09/2018
	Date Received in OIRA: 02/28/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	36 Months From Approved	05/31/2018
Responses	5,000	0	5,000
Time Burden (Hours)	9,000	0	9,000
Cost Burden (Dollars)	0	0	0

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Abstract: This collection contains the application and all supplemental forms required to be considered to attend the Academy Introduction Mission (AIM) Program at the United States Coast Guard Academy (USCGA). The AIM Program is a one-week summer visitation program for rising high school seniors interested in applying to USCGA.

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Authorizing Statute(s): US Code: 14 USC 181(a) Name of Law: Administration of Academy
   US Code: 14 USC 182 Name of Law: Cadets; number, appointment, obligation to serve
  

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 55386	11/21/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 4228	01/30/2018
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Online Application (OA)	USCGA-AIM3, USCGA-AIM1, USCGA-AIM2	AIM Medical History and Clearance From ,   AIM Scholarship Request Form ,   AIM Travel Update Form
High School Transcript (HST)
Personal Reference (PR)

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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:

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Annual Cost to Federal Government: $38,500

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: 02/28/2018

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