Information Collection

Application Process

IC 255741 under ICR 202609-0703-001 · OMB 0703-0036.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USNA 1110/21 Nomination for Natural/Adopted Children of Active Duty/Reserve/Retired Parents Application Process	Form
Candidate Application Screenshots.pdf	Other-Web Application
Application Withdrawal Screenshots.pdf	Other-Web Application
PLACEHOLDER BGO Interview Guide.docx	Other-Interview Guide
USNA 1110/21 Nomination for Natural/Adopted Children of Active Duty/R USNA_1110-21_Presidential_Nomination_10-23.pdf	Form
Official Candidate Letter_20XX Email_Redacted.pdf Official Candidate Letter	IC Document
USNA Police Record Check Supplement.pdf USNA Police Record Check Supplement	IC Document
USNA 1531-178 USNA Agreement to Serve (12-20).pdf Agreement to Serve Form	IC Document
Ethnicity, Race, and Cultural Heritage.pdf Cultural Heritage Drop Down List	IC Document

IC Title:

Application Process

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web Application		Yes	Yes	Fillable Fileable
Form	USNA 1110/21	Yes	Yes	Fillable Fileable Signable
Other-Web Application		Yes	Yes	Fillable Fileable
Other-Interview Guide		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 14,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 88 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	14,000	0	14,000
Annual IC Time Burden (Hours)	28,225	0	28,225
Annual IC Cost Burden (Dollars)	439,470	93,709	345,761

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Official Candidate Letter		04/12/2023
USNA Police Record Check Supplement		12/09/2022
Agreement to Serve Form		12/09/2022
Cultural Heritage Drop Down List		03/01/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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