Information Collection

U.S. Coast Guard CGES Scholarship Program Application

IC 209208 under ICR 202606-1625-001 · OMB 1625-0119.

Documents and Forms

Document Name Document Type
Form CG-5687 (07/17) Coast Guard Exchange System Scholarship Program Application U.S. Coast Guard CGES Scholarship Program Application Form
CG 5867_Inst_r0_2021_.docx Instruction
CG-5687 (07/17) Coast Guard Exchange System Scholarship Program Applicat CG_5687.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	U.S. Coast Guard CGES Scholarship Program Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			CG 5867_Inst_r0_2021_.docx		Yes	Yes	Printable Only
Form	CG-5687 (07/17)	Coast Guard Exchange System Scholarship Program Application	CG_5687.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DHS/USCG-018 Exchange System and Morale Well-Being and Recreation	FR Citation: 73 FR 77736

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	180	180
Annual IC Cost Burden (Dollars)	25	25

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.

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