Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NSTC 1533-129 Nurse SOU	Form	Modified	Available
Form NSTC 1533-112 Navy_URL_SOU	Form	Modified	Available
Form NSTC 1533-102 Debarment Statement	Form	Modified	Repair queued
Form NSTC 1533-101 Drug Statement	Form	Modified	Repair queued
Form NSTC 1533-158 Other Officials Evaluation	Form	Modified	Available
Form NSTC 1533-156 Teacher Evaluation	Form	Modified	Available
Form NSTC 1533-155 Counselor Request for Transcript	Form	Modified	Available
Form NSTC 1533-154 Marine SOU	Form	Modified	Available
Form NSTC 1533-157 Applicant Interview Form	Form	Modified	Available
Form NSTC 1533-157 Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Repair queued
NETC_NETFOCUS_PIA_20180518 (2).pdf	Supplementary Document	Uploaded 2019-12-19	Repair queued
0703-0026_SSA_1.30.2023.docx	Supporting Statement A	Uploaded 2023-01-31	Available
0703-0026_SSN Memo NSTC 1533-158_12.4.2019.pdf	Supplementary Document	Uploaded 2019-12-19	Repair queued
0703-0026_SSN Memo NSTC 1533-156_12.4.2019.pdf	Supplementary Document	Uploaded 2019-12-19	Missing upstream
0703-0026_SSN Memo NSTC 1533-155_12.4.2019.pdf	Supplementary Document	Uploaded 2019-12-19	Repair queued
0703-0026_SSN Memo NSTC 1533-102_12.4.2019.pdf	Supplementary Document	Uploaded 2019-12-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Nurse SOU
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Navy_URL_SOU
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Debarment Statement
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Drug Statement
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Other Officials Evaluation
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Teacher Evaluation
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Counselor Request for Transcript
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Marine SOU
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified	Applicant Interview Form
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Form	Modified
5218	Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	Other-Screenshots	Modified

ICR Details

OMB Control No: 0703-0026	ICR Reference No: 202301-0703-009
Status: Historical Active	Previous ICR Reference No: 201912-0703-002
Agency/Subagency: DOW/NAVY	Agency Tracking No:
Title: Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/15/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/31/2023
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2026	6 Months From Approved	03/31/2023
Responses	98,000	0	98,000
Time Burden (Hours)	47,833	0	46,666
Cost Burden (Dollars)	975,952	0	1,429,960

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Abstract: An assessment of an applicant's eligibility for a Naval Reserve Officers Training Corps (NROTC) Scholarship is necessary to ensure that the NROTC Selection Board has the information needed to select the best qualified candidates. Information includes, but is not limited to, the applicant’s background, academic performance, extra circular activities, physical readiness, leadership experience and moral character. In order to make this assessment, it is necessary to have information from the applicant, high school administrators, teachers and other adults. This information supports an analysis of the applicant's eligibility for an NROTC Scholarship.

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Authorizing Statute(s): US Code: 10 USC 2103 Name of Law: Eligibility for Membership
   US Code: 5 USC 301 Name of Law: Authorizing Departmental Forms and Regulations
  

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 72465	11/25/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 5869	01/30/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application Forms Booklet, Naval Reserve Officers Training Corps Scholarship Program	NSTC 1533-154 , NSTC 1533-155, NSTC 1533-156 , NSTC 1533-158, NSTC 1533-101 , NSTC 1533-102, NSTC 1533-112, NSTC 1533-129 , NSTC 1533-157	Applicant Interview Form ,   Marine SOU ,   Counselor Request for Transcript ,   Teacher Evaluation ,   Other Officials Evaluation ,   Drug Statement ,   Debarment Statement ,   Navy_URL_SOU ,   Nurse SOU

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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	98,000	98,000	0	0	0	0
Annual Time Burden (Hours)	47,833	46,666	0	1,167	0	0
Annual Cost Burden (Dollars)	975,952	1,429,960	0	-454,008	0	0

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: The change in respondent burden is due primarily to miscalculations in the previous request that went unnoticed.

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Annual Cost to Federal Government: $1,338,000

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: 01/31/2023

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