Coast Guard Exchange System Scholarship Application

Forms and Documents

Document Name	Status
Form CG-5687 U.S. Coast Guard CGES Scholarship Program Application Form	New
5 USC 301.pdf Supplementary Document	2013-11-05
SORN-Federal Register, Volume 73 Issue 245 (Friday, December 19, 2008).mht Supplementary Document	2013-11-05
30 Day Federal Register.doc Supplementary Document	2013-11-05
60 Day Federal Register.doc Supplementary Document	2013-11-05
1625-new_SS_r5_2014.docx Supporting Statement A	2014-04-22

IC Document Collections

IC ID	Document Title	Status
209208	U.S. Coast Guard CGES Scholarship Program Application Form	New

ICR Details

OMB Control No: 1625-0119	ICR Reference No: 201311-1625-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Coast Guard Exchange System Scholarship Application
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/12/2014
	Date Received in OIRA: 01/10/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2017	36 Months From Approved
Responses	30	0	0
Time Burden (Hours)	120	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is needed to evaluate and rank applications for the Coast Guard Exchange System Scholarship Program. Scholarships are awarded on an annual basis to the three top ranging applicants who are Coast Guard dependents. Awards are based on academic achievement which is supplied on the application.

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Authorizing Statute(s): US Code: 5 USC 301 Name of Law: Government Organization and Employees (Departmental Regulations)
  

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:
	77 FR 6132	02/07/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 22582	04/16/2012
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
U.S. Coast Guard CGES Scholarship Program Application	CG-5687	U.S. Coast Guard CGES Scholarship Program Application

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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	30	0	0	0	30	0
Annual Time Burden (Hours)	120	0	0	0	120	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: This is a new collection.

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Annual Cost to Federal Government: $225

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

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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: 01/10/2014

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