Prospect Questionnaire CGRC-1130

PROSPECT QUESTIONNAIRE, CHAT NOW QUESTIONNAIRE, AND THE OFFICER PROGRAM APPLICATION

Documents and Forms

Document Name Document Type
Form CGRC-1130 (01/17) Prospect Questionnaire CGRC-1130 Form and Instruction
1625-Update_Inst_r1_2021.docx Instruction
1625-Update_Inst_r1_2021.docx Instruction
CGRC-1130 (01/17) USCG Prospect Questionnaire CGRC-1130 Prospect Questionnaire Unencrypted.updated.pdf Form and Instruction
CGRC-1130 (01/17) USCG Prospect Questionnaire CGRC-1130 Prospect Questionnaire Unencrypted.updated.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Prospect Questionnaire CGRC-1130	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-1130 (01/17)	USCG Prospect Questionnaire	CGRC-1130 Prospect Questionnaire Unencrypted.updated.pdf		Yes	Yes	Fillable Printable
Instruction			1625-Update_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 and Personnel	FR Citation: 76 FR 66933

Number of Respondents: 27,887	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	Previously Approved
Annual Number of Responses for this IC	27,887	-22,113	50,000
Annual IC Time Burden (Hours)	9,203	-15,797	25,000
Annual IC Cost Burden (Dollars)	0	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.