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

ICR 201808-1625-005

OMB: 1625-0121

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2018-12-11
Supplementary Document
2018-02-27
Supplementary Document
2018-02-27
Supplementary Document
2018-02-27
Supplementary Document
2018-02-27
Supplementary Document
2018-02-27
Supplementary Document
2018-02-27
Supplementary Document
2018-02-27
Supplementary Document
2018-02-27
Supplementary Document
2018-02-27
Supplementary Document
2014-08-05
Supplementary Document
2014-08-05
ICR Details
1625-0121 201808-1625-005
Active 201802-1625-003
DHS/USCG
United States Coast Guard Academy Introduction Mission Program Application and Supplemental Forms
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 11/12/2019
Retrieve Notice of Action (NOA) 03/26/2019
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved
5,000 0 0
9,000 0 0
0 0 0

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.

US Code: 14 USC 182 Name of Law: Cadets; number, appointment, obligation to serve
   US Code: 14 USC 181(a) Name of Law: Administration of Academy
  
None

Not associated with rulemaking

  82 FR 55386 11/21/2017
83 FR 4228 01/30/2018
No

3
IC Title Form No. Form Name
Online Application (OA) USCGA-AIM1, USCGA-AIM2, USCGA-AIM3 AIM Scholarship Request Form ,   Travel Form ,   Medical History and Clearance Form
High School Transcript (HST)
Personal Reference (PR)

  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 5,000 0 0 0 0 5,000
Annual Time Burden (Hours) 9,000 0 0 0 0 9,000
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$38,500
No
    Yes
    Yes
No
No
No
Uncollected
Nicolle Bogden 860 701-6395 [email protected]

  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.
03/26/2019


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