West Point

Candidate Questionnaire OMB NO.0702-0060

OMB approval expiration

31 Mar 2022

All fields are required

AGENCY DISCLOSURE NOTICE - The public reporting burden for this collection of information, 0702-0060, is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, as whs.mc-alex.esd.mbx.dd-dod dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a current valid OMB control number.

*** PLEASE DO NOT RETURN YOUR RESPONSE TO THE ABOVE ADDRESS. ***

Responses should be sent to West Point Admissions, 606 Thayer Road, Building 606, West Point, NY 10996

PRIVACY ACT STATEMENT AUTHORITY: Title 5 United Sates Code, Government Organization and Employees, Ch 403, Sec 4346; Ch 505, Sec 5031; Ch 603, Sec 6958; Title 44, United States Code, Public Printing and Documents, Ch 31, Sec 3101; Executive Order 9397, Numbering System for Federal Accounts Relating to Individual Persons. PRINCIPAL PURPOSE: Collection of data on Academy candidates for opening a file. ROUTINE USE: To gather information on a candidate in order to open a file for admissions to the United States Military. DISCLOSURE IS VOLUNTARY. However, failure to provide information could preclude appointment. In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, these records contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows: Academic transcripts may be provided to educational institutions for the purpose of admissions to further educational degree programs. The DoD Blanket Routine Uses set forth at the beginning of the Army's compilation of systems of records notices also apply to this system.

INSTRUCTIONS

The instructions for completing the Candidate Questionnaire should be followed closely to ensure accurate data collection and to preclude over-collection of information. Instructions for the CQ can be found at: https://www.westpoint.edu/admissions/apply-now .