Student Training Record Form

OMB Control Number 0648-0568, expires XX/XX/20XX

Public Burden Statement
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be
subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork
Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved
OMB Control Number for this information collection is 0648-0568. Without this approval, we could not conduct this
information collection. Public reporting for this information collection is estimated to be approximately 30 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the information collection. All responses to this information collection are
voluntary. Send comments regarding this burden estimate or any other aspect of this information collection, including
suggestions for reducing this burden to the NOAA Office of Education, Natasha White, [email protected].
NOAA Routine Uses: NOAA will use this information to evaluate and assess student data and information for the
purpose of selecting successful candidates for scholarships, fellowships and internships, generating internal NOAA
reports, and articles to demonstrate the success of its program.
Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) to be shared among
NOAA staff for work-related purposes. Disclosure of this information is also subject to all of the published routine
uses as identified in the Privacy Act System of Records Notice Commerce/NOAA-14, Office of Education, Educational
Partnership Program (EPP/MSI); Ernest F. Hollings Undergraduate Scholarship Program and National Marine
Fisheries Service Recruitment, Training, and Research Program.
Obligation to Respond: Furnishing this information is voluntary; however, failure to provide information may prevent
consideration of your application for the program.

Figure 1. Student Scholarship and Training Record. Student registration page.

Figure 2. Student Scholarship and Training Record. Student data entry page.