APPLICATION FOR MATERIALS LICENSE - MEDICAL

ICR 198108-3150-004

OMB: 3150-0041

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
156152 Migrated
ICR Details
3150-0041 198108-3150-004
Historical Active 198104-3150-039
NRC
APPLICATION FOR MATERIALS LICENSE - MEDICAL
Extension without change of a currently approved collection   No
Regular
Approved without change 08/28/1981
Retrieve Notice of Action (NOA) 08/24/1981
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983 09/30/1981
500 0 500
1,000 0 1,000
0 0 0

NRC REGULATIONS 10 CFR 35.4 REQUIRE THAT APPLICANTS FOR SPECIFIC LICENSES TO POSSESS AND USE BYPRODUCT MATERIALS IN HUMAN BEINGS PROVID INFORMATION RELATIVE TO THE APPLICANT'S TRAINING, EXPERIENCE, EQUIPMEN FACILITIES, AND PROCEDURES TO DETERMINE THEIR ADEQUACY TO PROTECT THE PUBLIC HEALTH AND SAFETY.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR MATERIALS LICENSE - MEDICAL 313M

  Total Approved 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 500 500 0 0 0 0
Annual Time Burden (Hours) 1,000 1,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/24/1981


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