Personal Reference (PR)

United States Coast Guard Academy Introduction Mission Program Application and Supplemental Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0121 can be found here:

Documents and Forms

Document Name Document Type
1625-NEW AIM Recommendation Request.pdf Other-Personal Recommendation Reques
1625-NEW Instruction.doc Instruction
1625-0121 Instr_r0_2017.doc Instruction

Information Collection (IC) Details

IC Title:	Personal Reference (PR)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Personal Recommendation Request	1625-NEW AIM Recommendation Request.pdf	Yes	Yes	Fillable Fileable
Instruction	1625-NEW Instruction.doc	Yes	Yes	Printable Only
Instruction	1625-0121 Instr_r0_2017.doc	Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title: Privacy Act of 1974; Department of Homeland Security United States Coast Guard DHS/USCG -- 027 Recruiting Files	FR Citation: 76 FR 49494

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	1,125	1,125
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.