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Officer Program Application Cgrc-1131
PROSPECT QUESTIONNAIRE, CHAT NOW QUESTIONNAIRE, AND THE OFFICER PROGRAM APPLICATION
OMB: 1625-0128
IC ID: 249069
OMB.report
DHS/USCG
OMB 1625-0128
ICR 202410-1625-010
IC 249069
( )
Documents and Forms
Document Name
Document Type
Form CGRC-1131
OFFICER PROGRAM APPLICATION CGRC-1131
Form and Instruction
1625-0128_Inst_r1_2024.docx
Instruction
CGRC-1131 Officer Application Form
CGRC-1131 Officer Application Form Unencrypted.updated.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OFFICER PROGRAM APPLICATION CGRC-1131
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
CGRC-1131
Officer Application Form
CGRC-1131 Officer Application Form Unencrypted.updated.pdf
Yes
Yes
Fillable Printable
Instruction
1625-0128_Inst_r1_2024.docx
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Water Transportation
Privacy Act System of Records
Title:
DHS/USCG- 014 Military Pay Personnel
FR Citation:
76 FR 66933
Number of Respondents:
2,375
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,375
0
0
0
0
2,375
Annual IC Time Burden (Hours)
784
0
0
0
0
784
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.