Coast Guard Exchange System Scholarship Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CG-5687 (07/17) Coast Guard Exchange System Scholarship Program Application	Form	Unchanged	Available
1625-0119_30-day FRN_91FR27357_20260514_.docx	Supplementary Document	Uploaded 2026-06-04	Available
1625-0119_SS_2025_.docx	Supporting Statement A	Uploaded 2026-06-04	Available
60-day FR Notice_85 FR_66574_20201020_.docx	Supplementary Document	Uploaded 2021-03-04	Available
1625-0119 60-day FR Notice_90FR21056_20250516_.docx	Supplementary Document	Uploaded 2026-06-04	Available
Privacy-SORN-USCG-018_Exchange System_Morale Well-Being_Recreational Systems Files (October 31, 2014).htm	Supplementary Document	Uploaded 2026-06-04	Available
Privacy-SORN-USCG-014_Military Pay_Personnel_20111028.htm	Supplementary Document	Uploaded 2026-06-04	Available
Privacy-PIA-USCG-024 Direct Access-20161109.pdf	Supplementary Document	Uploaded 2026-06-04	Available
USCODE-2014-title14-partI-toc.pdf	Supplementary Document	Uploaded 2026-06-04	Available
USCODE-2008-title44-chap31-sec3101.pdf	Supplementary Document	Uploaded 2026-06-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209208	U.S. Coast Guard CGES Scholarship Program Application	Form	Unchanged	Coast Guard Exchange System Scholarship Program Application
209208	U.S. Coast Guard CGES Scholarship Program Application	Instruction	Unchanged

ICR Details

OMB Control No: 1625-0119	ICR Reference No: 202606-1625-001
Status: Received in OIRA	Previous ICR Reference No: 202103-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Coast Guard Exchange System Scholarship Application
Type of Information Collection: Reinstatement without 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	45	0
Time Burden (Hours)	180	0
Cost Burden (Dollars)	25	0

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Abstract: This information collection is needed to evaluate and rank applications for the Coast Guard Exchange System Scholarship Program. Scholarships are awarded on an annual basis to the three top ranging applicants who are Coast Guard dependents. Awards are based on academic achievement which is supplied on the application. 14 USC §531 authorizes the Commandant of USCG with the authority to collect information.

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Authorizing Statute(s): US Code: 14 USC 531 Name of Law: Coast Guard Family Support and Child Care
   US Code: 44 USC 3101 Name of Law: Records Management by Agency Heads
  

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 21056	05/16/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 27357	05/14/2026
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
U.S. Coast Guard CGES Scholarship Program Application	CG-5687 (07/17)	Coast Guard Exchange System Scholarship Program Application

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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	45	0	0	0	0	45
Annual Time Burden (Hours)	180	0	0	0	0	180
Annual Cost Burden (Dollars)	25	0	0	0	0	25

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: $230

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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