U.S. Coast Guard CGES Scholarship Program Application

Coast Guard Exchange System Scholarship Application

Documents and Forms

Document Name Document Type
CG 5867_Inst_r0_2021_.docx Instruction
CG-5687 (07/17) Coast Guard Exchange System Scholarship Program Applicat CG_5687.pdf Form

Information Collection (IC) Details

IC Title:	U.S. Coast Guard CGES Scholarship Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			CG 5867_Inst_r0_2021_.docx		Yes	Yes	Printable Only
Form	CG-5687 (07/17)	Coast Guard Exchange System Scholarship Program Application	CG_5687.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DHS/USCG-018 Exchange System and Morale Well-Being and Recreation	FR Citation: 73 FR 77736

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	45	15	30
Annual IC Time Burden (Hours)	180	60	120
Annual IC Cost Burden (Dollars)	22	7	15

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.