Information Collection

Officer Program Application Cgrc-1131

IC 249069 under ICR 202108-1625-003 · OMB 1625-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0128 can be found here:

Documents and Forms

Document Name Document Type
Form CGRC-1131 OFFICER PROGRAM APPLICATION CGRC-1131 Form and Instruction
1625-0128_Inst_r1_2021.docx Instruction
1625-0128_Inst_r1_2021.docx Instruction
CGRC-1131 Officer Application Form CGRC-1131 Officer Application Form Unencrypted.updated.pdf Form and Instruction
CGRC-1131 Officer Application Form CGRC-1131 Officer Application Form Unencrypted.updated.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	OFFICER PROGRAM APPLICATION CGRC-1131	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CGRC-1131	Officer Application Form	CGRC-1131 Officer Application Form Unencrypted.updated.pdf		Yes	Yes	Fillable Printable
Instruction			1625-0128_Inst_r1_2021.docx		Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: DHS/USCG- 014 Military Pay Personnel	FR Citation: 76 FR 66933

Number of Respondents: 2,375	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,375	2,375
Annual IC Time Burden (Hours)	784	784
Annual IC Cost Burden (Dollars)	0	0

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.