PERSONNEL SECURITY QUESTIONNAIRE

ICR 198406-3150-002

OMB: 3150-0048

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
156195 Migrated
ICR Details
3150-0048 198406-3150-002
Historical Active 198112-3150-004
NRC
PERSONNEL SECURITY QUESTIONNAIRE
Revision of a currently approved collection   No
Regular
Approved without change 07/24/1984
Retrieve Notice of Action (NOA) 06/28/1984
  Inventory as of this Action Requested Previously Approved
06/30/1987 06/30/1987 12/31/1984
1,511 0 5,500
2,267 0 8,250
0 0 0

THE INFORMATION ON NRC FORM 1 IS NEEDED TO CONDUCT BACKGROUND INVESTIGATIONS AND/OR EVALUATIONS OF APPLICANTS FOR EMPLOYMENT WITH TH NRC AND EMPLOYEES OFNRC CONTRACTORS AND LICENSEES TO DETERMINE THEIR ELIGIBILITY FOR ACCESS TONRC CLASSIFIED INFORMATION OR ACCESS TO OR CONTROL OVER SPECIAL NUCLEAR MATERIAL.

None
None


No

1
IC Title Form No. Form Name
PERSONNEL SECURITY QUESTIONNAIRE NRC-1

  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 1,511 5,500 0 -3,989 0 0
Annual Time Burden (Hours) 2,267 8,250 0 -5,983 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
06/28/1984


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