Coast Guard Exchange System Scholarship Application

Forms and Documents

Document Name	Status
1625-0119_SS_2021_v2.docx Supporting Statement A	2021-03-26
60-day FR Notice_85 FR_66574_20201020_.docx Supplementary Document	2021-03-04
30-day FR Notice _86 FR 2424_ 20210112.docx Supplementary Document	2021-03-04
Privacy-SORN-USCG-018_Exchange System_Morale Well-Being_Recreational Systems Files (October 31, 2014).htm Supplementary Document	2017-10-19
Privacy-SORN-USCG-014_Military Pay_Personnel_20111028.htm Supplementary Document	2017-10-19
Privacy-PIA-USCG-024 Direct Access-20161109.pdf Supplementary Document	2017-10-19
USCODE-2008-title44-chap31-sec3101.pdf Supplementary Document	2017-10-19
USCODE-2014-title14-partI-toc.pdf Supplementary Document	2017-10-19

IC Document Collections

IC ID	Document Title	Status
209208	U.S. Coast Guard CGES Scholarship Program Application Instruction	Modified

ICR Details

OMB Control No: 1625-0119	ICR Reference No: 202103-1625-001
Status: Received in OIRA	Previous ICR Reference No: 201710-1625-001
Agency/Subagency: DHS/USCG	Agency Tracking No:
Title: Coast Guard Exchange System Scholarship Application
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 03/26/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2021
Responses	45	30
Time Burden (Hours)	180	120
Cost Burden (Dollars)	22	15

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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. 14 USC §531 authorizes the Commandant of USCG with the authority to collect information.

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Authorizing Statute(s): US Code: 44 USC 3101 Name of Law: Records Management by Agency Heads
   US Code: 14 USC 531 Name of Law: Coast Guard Family Support and Child Care
  

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:
	85 FR 66574	10/20/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 2424	01/12/2021
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 (07/17)	Coast Guard Exchange System Scholarship Program Application

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ICR Summary of Burden

	Total Request	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	45	30	0	0	15	0
Annual Time Burden (Hours)	180	120	0	0	60	0
Annual Cost Burden (Dollars)	22	15	0	0	7	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: The change in burden is due to the increase in respondents from 30 to 45.

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Annual Cost to Federal Government: $230

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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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: 03/26/2021

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