Naval Academy Candidate Application Package

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form USNA Form 5500/1 Police Record Check	Form	New	Repair queued
Form USNA Form 1531/17 U.S. Naval Academy Accessions Questionnaire	Form	New	Repair queued
Form USNA Form 1531/16 USNA Request for Personal Swearing-In Ceremony	Form	New	Repair queued
Form USNA Form 1531/11 Plebe Sponsorship Questionnaire	Form	New	Repair queued
Form USNA Form 1531/11 Accepted Candidate Collections	Form	New	Repair queued
Form USNA Form 1110/5 ROTC Nomination to USNA	Form	New	Repair queued
Form USNA 1110/21 Nomination for Natural/Adopted Children of Active Duty/Reserve/Retired Parents	Form	New	Repair queued
Form USNA 5710/1 U.S. Embassy Contact and Nomination for International Student Applicants	Form	New	Repair queued
Form USNA 5710/1 International Student Applicants	Form	New	Repair queued
Form USNA Form 1110/7 United States Naval Academy Request for Information	Form and Instruction	New	Repair queued
Midshipmen Records_Draft SORN_1.30.2023.docx	Supplementary Document	Uploaded 2023-04-12	Repair queued
Candidate Application SSN .pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
SSN Justification for Police Record Check (2).pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
NSTAR SSN Justification (1).pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
MIDS SSN Justification (1).pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
AIS SSN Justification (1).pdf	Supplementary Document	Uploaded 2023-01-20	Repair queued
0703-0036_SSA_5.12.2023.docx	Supporting Statement A	Uploaded 2023-05-12	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5226	United States Naval Academy Candidate Application Forms	Other-On-line Applicaton	Removed
257562	Preliminary Application	Other-Web Form	New
257304	Accepted Candidate Collections	Form	New	Police Record Check
257304	Accepted Candidate Collections	Form	New	U.S. Naval Academy Accessions Questionnaire
257304	Accepted Candidate Collections	Form	New	USNA Request for Personal Swearing-In Ceremony
257304	Accepted Candidate Collections	Form	New	Plebe Sponsorship Questionnaire
257304	Accepted Candidate Collections	Form	New
257304	Accepted Candidate Collections	Other-Statement of Understanding	New
257298	Nomination, Recommendations, and Evaluations	Form	New	ROTC Nomination to USNA
257298	Nomination, Recommendations, and Evaluations	Other-Web Form	New
255741	Application Process	Form	New	Nomination for Natural/Adopted Children of Active Duty/Reserve/Retired Parents
255741	Application Process	Other-Web Application	New
255739	International Student Applicants	Form	New	U.S. Embassy Contact and Nomination for International Student Applicants
255739	International Student Applicants	Form	New
255706	Request for Information	Form and Instruction	New	United States Naval Academy Request for Information
255706	Request for Information	Other-Web Form	New

ICR Details

OMB Control No: 0703-0036	ICR Reference No: 202208-0703-005
Status: Active	Previous ICR Reference No: 200709-0703-002
Agency/Subagency: DOW/NAVY	Agency Tracking No:
Title: Naval Academy Candidate Application Package
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/18/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/12/2023
Terms of Clearance: This collection is approved based on the revised materials provided by the Department. DOD must report this collection in the next submission of the Information Collection Budget.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2026	36 Months From Approved
Responses	132,482	0	0
Time Burden (Hours)	122,181	0	0
Cost Burden (Dollars)	4,245,056	0	0

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Abstract: The information is collected to determine the eligibility, overall competitive standing, scholastic, and leadership potential of candidates for an appointment to the U.S. Naval Academy. An analysis of the information collected is made by the Admissions Board during the process in order to gauge the qualifications of individual candidates. Respondents are high school or college students applying for admission to the U.S. Naval Academy.

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Authorizing Statute(s): US Code: 10 USC 2005 Name of Law: Advanced education assistance
   US Code: 10 USC 503 Name of Law: Enlistments
   US Code: 10 USC 347 Name of Law: International engagement authorities for service academies
   US Code: 10 USC 8454 Name of Law: Midshipmen: number
   US Code: 10 USC 8456 Name of Law: Midshipmen: nomination and selection to fill vacancies
   US Code: 10 USC 8458 Name of Law: Midshipmen: qualifications for admission
   US Code: 10 USC 8459 Name of Law: Midshipmen: Agreement for Length of Service
   EO: EO 9397 Name/Subject of EO: Social Security Number (SSN)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 44372	07/26/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 30099	05/10/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Accepted Candidate Collections	USNA Form 1531/11, USNA Form 1531/16, USNA Form 1531/17, USNA Form 5500/1	Plebe Sponsorship Questionnaire ,   USNA Request for Personal Swearing-In Ceremony ,   U.S. Naval Academy Accessions Questionnaire ,   Police Record Check
Application Process	USNA 1110/21	Nomination for Natural/Adopted Children of Active Duty/Reserve/Retired Parents
International Student Applicants	USNA 5710/1	U.S. Embassy Contact and Nomination for International Student Applicants
Nomination, Recommendations, and Evaluations	USNA Form 1110/5	ROTC Nomination to USNA
Preliminary Application
Request for Information	USNA Form 1110/7	United States Naval Academy Request for Information
United States Naval Academy Candidate Application Forms

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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	132,482	0	0	132,482	-14,000	14,000
Annual Time Burden (Hours)	122,181	0	0	122,181	-56,000	56,000
Annual Cost Burden (Dollars)	4,245,056	0	0	4,245,056	-1,400,000	1,400,000

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: This is a reinstatement with change to an expired collection. Renewal has been in progress since at least 2014. The burden has increased since the previous approval due to an increase in respondents, a better evaluation of the respondents and their time, as well as the addition of collection instruments that were not accounted for in the original burden estimate.

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Annual Cost to Federal Government: $3,481,412

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? No

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Common Form ICR:  No

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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: 05/12/2023

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