USCG Academy Application and Supplemental Forms

OMB Control No: 1625-0004	ICR Reference No: 200804-1625-004
Status: Historical Active	Previous ICR Reference No: 200503-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: USCG Academy Application and Supplemental Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/11/2008
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/10/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	36 Months From Approved	12/31/2008
Responses	4,000	0	4,000
Time Burden (Hours)	8,100	0	8,300
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of forms contains all the forms required to be considered for cadet candidacy. Additional information may be requested, but no forms are used, or pre-existing OMB forms are used.

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Authorizing Statute(s): US Code: 14 USC 211 Name of Law: Original appointment of permanent commissioned officers

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:
	73 FR 16027	03/26/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 34777	06/18/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name USCG Academy Application and Supplemental Forms CGA-14C, CGA-14D, CGA-14A, CGA-14, CGA-14B English Instructor Evaluation ,   High School Transcript ,   Math Instruction Evaluation ,   Coach or P.E. Instructor Evaluation ,   Physical Fitness Exam (PFE) Scoring Form

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ICR Summary of Burden

	Total Approved	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	4,000	4,000	0	0	0	0
Annual Time Burden (Hours)	8,100	8,300	0	0	-200	0
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: No

Burden Reduction Due to:

Short Statement: The removal of the Mid-Year Transcript from the supplemental forms is a program change which reduces the total annual cost burden to both respondents and record keepers. Switching our contractor, from The College Board to Paskill Stapleton and Lord, for development/management of the online application increased the annualized cost to the USCGA. Overall, this collection of forms is easier for the respondents to complete and the record keepers to process than in the past.

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Annual Cost to Federal Government: $36,560

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Chris McMunn 8607016778

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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: 09/10/2008

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