Application for Commission in the U.S. Navy/U.S. Naval Reserve

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NAVCRUIT Form 1131 Application Processing and Summary Record	Form	Modified	Available
Form NAVCRUIT 1130/104 United States Navy Tattoo Screening Certificate	Form	New	Available
0703-0029_SSA_9.26.2019.DOC	Supporting Statement A	Uploaded 2019-09-30	Available
0703-0029_NAVY RECRUITING COMMAND TATTOO QUESTIONS_9.19.19.docx	Supplementary Document	Uploaded 2019-09-26	Available
0703-0029_SSN Memo_9.19.19.pdf	Supplementary Document	Uploaded 2019-09-26	Available
0703-0029_PIA_9.19.19.pdf	Supplementary Document	Uploaded 2019-09-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37550	NAVCRUIT 1131/238 Form Application Processing and Summary Record Information	Form	Modified	Application Processing and Summary Record
37550	NAVCRUIT 1131/238 Form Application Processing and Summary Record Information	Other-Instructions for Completing NAVCRUIT Form 1131/238	Modified
237878	NAVCRUIT 1130/104, United States Navy Tattoo Screening Certificate	Form	New	United States Navy Tattoo Screening Certificate

ICR Details

OMB Control No: 0703-0029	ICR Reference No: 201909-0703-001
Status: Historical Active	Previous ICR Reference No: 201607-0703-002
Agency/Subagency: DOW/NAVY	Agency Tracking No: 0703-0029
Title: Application for Commission in the U.S. Navy/U.S. Naval Reserve
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/31/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/30/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved	10/31/2019
Responses	36,000	0	14,000
Time Burden (Hours)	30,000	0	14,000
Cost Burden (Dollars)	217,500	0	101,500

---

Abstract: All persons interested in entering the U.S. Navy or U.S. Navy Reserve in a commissioned status must provide various personal data in order for a Selection Board to determine their qualifications for naval service and for specific fields of endeavor that the applicant intends to pursue. The NAVCRUIT 1131/238 form, “Application Processing and Summary Record Information” is collected from any persons that are interested in joining the U.S. Navy or Navy Reserve.The NAVCRUIT 1130/104 form is used for collecting information for any persons that has tattoos/body art/brands who are seeking a commission or enlistment into the Navy or Navy Reserves.

---

Authorizing Statute(s): US Code: 10 USC 12209 Name of Law: Officer Candidates
   US Code: 10 USC 2107 Name of Law: Financial Assistance Program for Specially Selected Members
   US Code: 10 USC 6019 Name of Law: Citizenship of Officers of Vessels
   US Code: 10 USC 591 Name of Law: Reserve Components: Qualifications
  

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:
	84 FR 36593	07/29/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 51529	09/30/2019
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
NAVCRUIT 1130/104, United States Navy Tattoo Screening Certificate	NAVCRUIT 1130/104	United States Navy Tattoo Screening Certificate
NAVCRUIT 1131/238 Form Application Processing and Summary Record Information	NAVCRUIT Form 1131/238	Application Processing and Summary Record

---

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	36,000	14,000	0	22,000	0	0
Annual Time Burden (Hours)	30,000	14,000	0	16,000	0	0
Annual Cost Burden (Dollars)	217,500	101,500	0	116,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The approved collection from 2016, reported an annual number of respondents for the NAVCRUIT 1131/238, Application Processing and Summary Record (APSR), as 14,000. Over the course of three years, the response time is the same at an hour for the NAVCRUIT 1131/238, but the number of respondents is now approximately 24,000 annually. The change is a result of the Navy’s increased requirement of meeting its recruiting goal. From the 24,000 respondents filling out the APSR, 12,000 respondents fill out an additional form, NAVCRUIT 1130/104, U.S. Navy Tattoo Screening Certificate. The response time for it the NAVCRUIT 1130/104 is 30 minutes. The difference is an adjustment increase of 16,000 because of both the increased requirement of meeting goal and because of the increase of responses with adding the NAVCRUIT 1130/104, which added 12,000 responses at 30 minutes a response making the total increase of 16,000. .

---

Annual Cost to Federal Government: $677,850

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

---

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: 09/30/2019

---