Information Collection

"claim For Bodily Injury, Death Or Damage To, Or Loss Of Property Under Section 167, Atomic Energy Act Of 1954"

IC 135688 under ICR 198103-1901-001 · OMB 1901-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

IC Title:

"CLAIM FOR BODILY INJURY, DEATH OR DAMAGE TO, OR LOSS OF PROPERTY UNDER SECTION 167, ATOMIC ENERGY ACT OF 1954"

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	NV-713	No	No
Form	(PREVIOUSLY	No	No
Form	NV-DOE-369)	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 140

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	140	140
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.