Global Hlth Distance Learning:

RCS: HA(X)XXXX
OMB# 0720-XXXX
Exp. XX-XX-XXXX

AGENCY DISCLOSURE NOTICE

The public reporting burden for this collection of information, OMB# 0720-XXXX, is estimated to average 1 hour 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, at whs.mc-alex.esd.mbx.dd-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 currently valid OMB control number.

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. 2113, Administration of University; 10 U.S.C. 2114, Students: selection; status; obligation; DoD Directive 6010.7, Admission Policies for the Uniformed Services University of the Health Sciences (USUHS); DoD Instruction 6010.20, Admission Procedures for the Uniformed Services University of the Health Sciences; and E.O. 9397 (SSN), as amended.
PRINCIPAL PURPOSE(S): To allow the Uniformed Services University of the Health Sciences to review admission applications and select students. Also used as a management tool for statistical analysis, tracking, reporting, evaluating program effectiveness and conducting research.
ROUTINE USES: The applicable Routine Uses are listed in the Systems of Records Notice, WUSU 04, Applicant Records System Records, located at: https://dpcld.defense.gov/Privacy/SORNsIndex/DOD-wide-SORN-Article-View/Article/570617/wusu-04/.
DISCLOSURE: Voluntary; however, failure to provide the information may result in the inability to process an individual’s application.