Offered Candidate Procedures

ICR 200910-0702-003

OMB: 0702-0062

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2009-10-31
IC Document Collections
IC ID
Document
Title
Status
5165 Modified
ICR Details
0702-0062 200910-0702-003
Historical Active 200604-0702-005
DOD/DOA
Offered Candidate Procedures
Extension without change of a currently approved collection   No
Regular
Approved without change 12/15/2009
Retrieve Notice of Action (NOA) 10/31/2009
DOD needs to re-submit these forms at the 30 day notice stage before July 2010 and should address the following areas in the revised forms. Place the PRA burden statement at the end of the form and start with the purpose of the form -- What is the authority to collection this information? What is DOD’s authority to ask for SSNs in this case? Also, if the service would prefer folks to do these forms on-line – please include some instructions on these forms directing folks here? Describe the process the applicant will go through -- this is less than a paragraph. I’m assuming the applicant can add additional sheets if needed or attach a typed document? Or, do you want this handwritten? Who makes the final determination on eligibility -- and will the applicant have the opportunity to explain any information before a final decision is made? Disclosure of the information – DOD needs to describe who this information is going to be shared with and the privacy act routine uses Authorization for release of the information -- this needs to include a signature -- as well as how long the authorization is valid (probably not more than a year). Uniform Data Card – If you want folks to go to the website to do the order, please put this on the form. Fall Senior Year Grades – don’t you need an authorization from the student to be somewhere on the form? Travel Arrangement Card – What is the date June 27, 2005 refer to? Certificate of Authorization – I really don’t understand what this form is for. Perhaps a purpose section would help. Statement of consent – can we include a link to this form 5-50? Immunization Record -- I would move Part 1 plus the applicant’s signatures to the one page of the form and then do the health provider’s stuff on the subsequent pages. Birth Certificate information – Should the instructions say to tape up all sides if you are enclosing a birth certificate? Vision Survey – don’t you want more contact information on the form for the provider? A phone number? Candidate Personal information Data – do you need a signature on the form?
  Inventory as of this Action Requested Previously Approved
07/31/2010 36 Months From Approved 12/31/2009
18,550 0 16,600
1,552 0 1,383
0 0 0

West Point candidates provide personal background information which allows the West Point Admissions Committee to make subjective judgments on non-academic experiences. Data are also used by West Point Office of Institutional Research for correlation with success in graduation and military careers.

US Code: 10 USC 4346 Name of Law: null
  
None

Not associated with rulemaking

  74 FR 36677 07/24/2009
74 FR 36677 07/24/2009
No

1
IC Title Form No. Form Name
Offered Candidate Procedures USMA 5-489, USMA 5-490, USMA 5-499, USMA 5-515, USMA 5-519, USMA 6-154, USMA 8-2, USMA 480-1, USMA 847, USMA 5-516, USMA 2-66 Certificate of Authorization ,   Travel Arrangment Card ,   Fall Senior Year Grades ,   Uniform Data Card ,   Candidate Personal Data ,   Appointment Declination ,   Vision Survey ,   Birth Certificate Information ,   Request for Final Transcript ,   Immunization Record Form ,   Statement of Consent

  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 18,550 16,600 0 0 1,950 0
Annual Time Burden (Hours) 1,552 1,383 0 0 169 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Burden increased due to an increase in respondents.

$32,079
No
No
Uncollected
Uncollected
No
Uncollected
Patricia Toppings 703 696-5284 PLToppings@whs.mil

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/31/2009


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