USCG Academy Application and Supplemental Forms

OMB Control No: 1625-0004	ICR Reference No: 201109-1625-001
Status: Historical Inactive	Previous ICR Reference No: 200804-1625-004
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OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 05/10/2012
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/22/2011
Terms of Clearance: USCG will resubmit with revised screen shots and IC's reflecting the proposed changes to the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	36 Months From Approved	08/31/2012
Responses	4,000	0	4,000
Time Burden (Hours)	8,100	0	8,100
Cost Burden (Dollars)	0	0	0

---

Abstract: This collection contains the application and all supplemental forms required to be considered as an applicant to the United States Coast Guard Academy. Additional information may be requested, but no new or pre-existing OMB forms are used.

---

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

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 62426	10/07/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 78286	12/16/2011
Did the Agency receive public comments on this ICR? No

---

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

IC Title Form No. Form Name USCG Academy Application and Supplemental Forms CGA-14, CGA-14A, CGA-14B, CGA-14C, CGA-14D Coast Guard Academy Forms

---

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: There is no change to the information being collected from respondents. The use of e-forms, which the respondents are not required to print or return via mail to the USCGA, is a change which has decreased the total annual cost burden to respondents and record keepers. The use of e-forms has also allowed the annualized cost to the USCGA to remain unchanged. While the use of e-forms has not reduced the hour burden for respondents completing the HST, EIE, MIE, or PE forms, respondents have reported a reduced hour burden for completion of the OA. In addition, respondents have reported a reduced hour burden for completion of the PFE. Overall, this collection of forms is easier for the respondents to complete and record keepers to process compared to the previous collection due to the technology employed within the e-forms.

---

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]? 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? Uncollected

Agency Contact: Chris McMunn 8607016778

---

Common Form ICR:  No

---

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: 12/22/2011

---