Information Collection

Application Process

IC 255741 under ICR 202208-0703-005 · OMB 0703-0036.

Documents and Forms

Document Name Document Type
USNA Candidate Application.pdf Other-Web Application
Application Withdrawal Screenshots.pdf Other-Web Application
PLACEHOLDER BGO Interview Guide.docx Other-Interview Guide
USNA 1110/21 Nomination for Natural/Adopted Children of Active Duty/R USNA 1110-21 Presidential Nomination.pdf Form
Official Candidate Letter_20XX Email_Redacted.pdf Official Candidate Letter IC Document
Candidate Information System Screenshots.pdf Candidate Information System Screenshots IC Document
USNA Police Record Check Supplement.pdf USNA Police Record Check Supplement IC Document
USNA 1531-178 USNA Agreement to Serve (12-20).pdf Agreement to Serve Form IC Document
Ethnicity, Race, and Cultural Heritage.pdf Cultural Heritage Drop Down List IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Process	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web Application			USNA Candidate Application.pdf	Yes	Yes	Fillable Fileable
Form	USNA 1110/21	Nomination for Natural/Adopted Children of Active Duty/Reserve/Retired Parents	USNA 1110-21 Presidential Nomination.pdf	Yes	Yes	Fillable Fileable Signable
Other-Web Application			Application Withdrawal Screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Interview Guide			PLACEHOLDER BGO Interview Guide.docx	No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 88 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14,000	14,000
Annual IC Time Burden (Hours)	28,225	28,225
Annual IC Cost Burden (Dollars)	345,761	345,761

Documents for IC

Title	Document	Date Uploaded
Official Candidate Letter	Official Candidate Letter_20XX Email_Redacted.pdf	04/12/2023
Candidate Information System Screenshots	Candidate Information System Screenshots.pdf	09/02/2022
USNA Police Record Check Supplement	USNA Police Record Check Supplement.pdf	12/09/2022
Agreement to Serve Form	USNA 1531-178 USNA Agreement to Serve (12-20).pdf	12/09/2022
Cultural Heritage Drop Down List	Ethnicity, Race, and Cultural Heritage.pdf	03/01/2023

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