Information Collection

Nomination, Recommendations, and Evaluations

IC 257298 under ICR 202609-0703-001 · OMB 0703-0036.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USNA Form 1110/5 ROTC Nomination to USNA Nomination, Recommendations, and Evaluations	Form
Academic Information Assessment.pdf	Other-Web Form
Candidate Fitness Assessment.pdf	Other-Web Form
College Transcript Request.pdf	Other-Web Form
English Evaluation.pdf	Other-Web Form
Math Evaluation.pdf	Other-Web Form
Other Recommendation.pdf	Other-Web Form
USNA Form 1110/5 ROTC Nomination to USNA USNA_1110-5_ROTC_Nomination_2-251.pdf	Form
Request Emails.pdf Request Emails	IC Document

IC Title:

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 Form		Yes	Yes	Fillable Fileable
Other-Web Form		Yes	Yes	Fillable Fileable
Other-Web Form		Yes	Yes	Fillable Fileable
Other-Web Form		Yes	Yes	Fillable Fileable
Other-Web Form		Yes	Yes	Fillable Fileable
Other-Web Form		Yes	Yes	Fillable Fileable
Form	USNA Form 1110/5	Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70,775

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	70,775	0	70,775
Annual IC Time Burden (Hours)	70,317	0	70,317
Annual IC Cost Burden (Dollars)	3,925,076	315,721	3,609,355

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request Emails		12/09/2022

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

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