United States Coast Guard Academy Introduction Mission Program Application and Supplemental Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form USCGA-AIM3 Medical History and Clearance Form	Form	Modified	Available
Form USCGA-AIM2 Travel Form	Form and Instruction	Modified	Available
Form USCGA-AIM1 AIM Scholarship Request Form	Form	Modified	Available
1625-0121 60-day FR Notice_90FR37533_20250805_.docx	Supplementary Document	Uploaded 2026-05-21	Available
1625-0121 30-day FR Notice_90FR54727_20251128_.docx	Supplementary Document	Uploaded 2026-05-21	Available
DHS_USCG_027_Recruting Files_20110810_76FR49494.docx	Supplementary Document	Uploaded 2026-05-21	Available
DHS_USCG_014_Military Pay_Personnel_20111028_76FR66933.docx	Supplementary Document	Uploaded 2026-05-21	Available
privacy_pia_uscg_acadis.pdf	Supplementary Document	Uploaded 2026-05-21	Available
14 USC 1922_ Appointments.html	Supplementary Document	Uploaded 2026-05-21	Available
14 USC 1901_ Administration of Academy.html	Supplementary Document	Uploaded 2026-05-21	Available
1625-0121 USCGA AIM Program Supporting Statement 2025___.docx	Supporting Statement A	Uploaded 2026-06-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212520	Personal Reference (PR)	Other-Personal Recommendation Request	Modified
212519	High School Transcript (HST)	Other-High School Documentation	Modified
212509	Online Application (OA)	Form	Modified	Medical History and Clearance Form
212509	Online Application (OA)	Form and Instruction	Modified	Travel Form
212509	Online Application (OA)	Form	Modified	AIM Scholarship Request Form
212509	Online Application (OA)	Instruction	Modified

ICR Details

OMB Control No: 1625-0121	ICR Reference No: 202605-1625-001
Status: Received in OIRA	Previous ICR Reference No: 201808-1625-005
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: United States Coast Guard Academy Introduction Mission Program Application and Supplemental Forms
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/09/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	9,000	0
Time Burden (Hours)	9,000	0
Cost Burden (Dollars)	0	0

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Abstract: This collection contains the application and all supplemental forms required to be considered to attend the Academy Introduction Mission (AIM) Program at the United States Coast Guard Academy (USCGA). The AIM Program is a one-week summer visitation program for rising high school seniors interested in applying to USCGA. 14 U.S.C. 181 and 14 U.S.C. 182 are the authorities for this collection

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Authorizing Statute(s): US Code: 14 USC 181(a) Name of Law: Administration of Academy
   US Code: 14 USC 182 Name of Law: Cadets; number, appointment, obligation to serve
  

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:
	90 FR 37533	08/05/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 54727	11/28/2025
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
High School Transcript (HST)
Online Application (OA)	USCGA-AIM1, USCGA-AIM2, USCGA-AIM3	AIM Scholarship Request Form ,   Travel Form ,   Medical History and Clearance Form
Personal Reference (PR)

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	9,000	0	0	625	3,375	5,000
Annual Time Burden (Hours)	9,000	0	0	-3,281	3,281	9,000
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Revisions were made to update the cost of reviewing data. Minimal changes to wording were made to the forms since the last iteration.

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Annual Cost to Federal Government: $46,500

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: 06/09/2026

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