Nomination, Recommendations, and Evaluations

Naval Academy Candidate Application Package

Documents and Forms

Document Name Document Type
Academic Information Assessment.pdf Other-Web Form
Candidate Fitness Assessment.pdf Other-Web Form
College Transcript Request.pdf Other-Web Form
English Evaluation.pdf Other-Web Form
Math Evaluation.pdf Other-Web Form
Other Recommendation.pdf Other-Web Form
USNA Form 1110/5 ROTC Nomination to USNA USNA 1110-5 ROTC Nomination.pdf Form
Request Emails.pdf Request Emails IC Document

Information Collection (IC) Details

IC Title:	Nomination, Recommendations, and Evaluations	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 Form			Academic Information Assessment.pdf	Yes	Yes	Fillable Fileable
Other-Web Form			Candidate Fitness Assessment.pdf	Yes	Yes	Fillable Fileable
Other-Web Form			College Transcript Request.pdf	Yes	Yes	Fillable Fileable
Other-Web Form			English Evaluation.pdf	Yes	Yes	Fillable Fileable
Other-Web Form			Math Evaluation.pdf	Yes	Yes	Fillable Fileable
Other-Web Form			Other Recommendation.pdf	Yes	Yes	Fillable Fileable
Form	USNA Form 1110/5	ROTC Nomination to USNA	USNA 1110-5 ROTC Nomination.pdf	Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70,775	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	70,775	70,775
Annual IC Time Burden (Hours)	70,317	70,317
Annual IC Cost Burden (Dollars)	3,609,355	3,609,355

Documents for IC

Title	Document	Date Uploaded
Request Emails	Request Emails.pdf	12/09/2022

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