Information Collection

Academic Certification for Marine Corps Officer Candidate Program

IC 5204 under ICR 202206-0703-001 · OMB 0703-0011.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NAVMC Form 10469 Academic Certification for Marine Corps Officer Candidate Program	Form and Instruction
NAVMC Form 10469 Academic Certification for Marine Corps Officer Candidat 0703-0011_NAVMC10469_6.23.2022.pdf	Form and Instruction
NAVMC Form 10469 Academic Certification for Marine Corps Officer Candidat 0703-0011_NAVMC10469_6.23.2022.pdf	Form and Instruction

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NAVMC Form 10469	Academic Certification for Marine Corps Officer Candidate Programs	0703-0011_NAVMC10469_6.23.2022.pdf		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,500	0	3,500
Annual IC Time Burden (Hours)	875	0	875
Annual IC Cost Burden (Dollars)	18,270	4,052	14,218

Documents for IC

table that charts IC Documents
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.