PROSPECT QUESTIONNAIRE, CHAT NOW QUESTIONNAIRE, AND THE OFFICER PROGRAM APPLICATION

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CG-1132 Chat Now Online Questionnaire	Form	Modified	Available
Form CG-1132 Chat Now Questionnaire CGRC- 1132	Form	Modified	Repair queued
Form CGRC-1131 Officer Application Form	Form and Instruction	Modified	Repair queued
Form CGRC-1131 OFFICER PROGRAM APPLICATION CGRC-1131	Form and Instruction	Modified	Repair queued
Form CGRC-1130 (01/17) USCG Prospect Questionnaire	Form and Instruction	Modified	Available
Form CGRC-1130 (01/17) Prospect Questionnaire CGRC-1130	Form and Instruction	Modified	Repair queued
1625-0128 30-day FR Notice_89FR97642_20241209_.docx	Supplementary Document	Uploaded 2024-12-10	Available
1625-0128 30-day FR Notice_89FR97642_20241209_.docx	Supplementary Document	Uploaded 2024-12-10	Repair queued
1625-0128 60-day FR Notice_89FR71915_20240904_.docx	Supplementary Document	Uploaded 2024-10-28	Available
1625-0128 60-day FR Notice_89FR71915_20240904_.docx	Supplementary Document	Uploaded 2024-10-28	Repair queued
DHS_USCG_014 Military Pay_Personnel SORN_20111028.pdf	Supplementary Document	Uploaded 2024-10-28	Repair queued
DHS_USCG_014 Military Pay_Personnel SORN_20111028.pdf	Supplementary Document	Uploaded 2024-10-28	Repair queued
privacy-pia-uscg-024 direct access-november2016.pdf	Supplementary Document	Uploaded 2024-10-28	Available
privacy-pia-uscg-024 direct access-november2016.pdf	Supplementary Document	Uploaded 2024-10-28	Repair queued
1625-0128 Statutory Authority (14USC468).docx	Supplementary Document	Uploaded 2021-08-04	Repair queued
1625-0128 Statutory Authority (14USC468).docx	Supplementary Document	Uploaded 2021-08-04	Missing upstream
1625-0128 Statutory Authority (10USC503).docx	Supplementary Document	Uploaded 2021-08-04	Available
1625-0128 Statutory Authority (10USC503).docx	Supplementary Document	Uploaded 2021-08-04	Repair queued
OMB 1625-0128 Supporting Statement Part A 2026.docx	Supporting Statement A	Uploaded 2026-02-10	Repair queued
OMB 1625-0128 Supporting Statement Part A 2024.docx	Supporting Statement A	Uploaded 2024-12-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
249070	Chat Now Questionnaire CGRC- 1132	Form	Modified	Chat Now Online Questionnaire
249070	Chat Now Questionnaire CGRC- 1132	Form	Modified
249070	Chat Now Questionnaire CGRC- 1132	Instruction	Modified
249069	OFFICER PROGRAM APPLICATION CGRC-1131	Form and Instruction	Modified	Officer Application Form
249069	OFFICER PROGRAM APPLICATION CGRC-1131	Form and Instruction	Modified
249069	OFFICER PROGRAM APPLICATION CGRC-1131	Instruction	Modified
231490	Prospect Questionnaire CGRC-1130	Form and Instruction	Modified	USCG Prospect Questionnaire
231490	Prospect Questionnaire CGRC-1130	Form and Instruction	Modified
231490	Prospect Questionnaire CGRC-1130	Instruction	Modified

ICR Details

OMB Control No: 1625-0128	ICR Reference No: 202410-1625-010
Status: Active	Previous ICR Reference No: 202108-1625-003
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: PROSPECT QUESTIONNAIRE, CHAT NOW QUESTIONNAIRE, AND THE OFFICER PROGRAM APPLICATION
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/11/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/30/2024
Terms of Clearance: Previous terms of clearance continue to apply. The USCG will ensure that it continues to comply with OMB guidance regarding the tracking of individuals across websites through advertisements.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2029	36 Months From Approved	02/28/2026
Responses	50,000	0	50,000
Time Burden (Hours)	11,625	0	11,625
Cost Burden (Dollars)	0	0	0

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Abstract: Approximately 50,000 individuals a year visit the U.S. Coast Guard recruiting website gocoastguard.com to contact the Coast Guard about career opportunities. The Coast Guard uses the information from individuals completing these forms to conduct initial screenings on their eligibility and establish contact with them. 10 U.S.C. 503 and 14 U.S.C. 468 are the authorities for this collection,.

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Authorizing Statute(s): US Code: 10 USC 503 Name of Law: Enlistments: Recruiting Campaignes; Compilation of Directory Information
   US Code: 14 USC 468 Name of Law: Procurment of Personnel
  

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:
	89 FR 71915	09/04/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 97642	12/09/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Chat Now Questionnaire CGRC- 1132	CG-1132	Chat Now Online Questionnaire
OFFICER PROGRAM APPLICATION CGRC-1131	CGRC-1131	Officer Application Form
Prospect Questionnaire CGRC-1130	CGRC-1130 (01/17)	USCG Prospect Questionnaire

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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	50,000	50,000	0	0	0	0
Annual Time Burden (Hours)	11,625	11,625	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

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: 12/30/2024

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