MEDICAL LICENSE OCCUPATIONAL ALARA PROGRAM

ICR 198605-3150-006

OMB: 3150-0045

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
156173
Migrated
ICR Details
3150-0045 198605-3150-006
Historical Active 198309-3150-005
NRC
MEDICAL LICENSE OCCUPATIONAL ALARA PROGRAM
Extension without change of a currently approved collection   No
Regular
Approved without change 06/10/1986
Retrieve Notice of Action (NOA) 05/20/1986
  Inventory as of this Action Requested Previously Approved
06/30/1989 06/30/1989 05/31/1986
200 0 200
800 0 800
0 0 0

APPLICANTS FOR AND HOLDERS OF A SPECIFIC MEDICAL LICENSE FOR HUMAN USE OF BYPRODUCT MATERIAL ARE REQUESTED TO ESTABLISH AND SUBMIT A FORMAL PROGRAM FOR MAINTAINING OCCUPATIONAL EXPOSURE AS LOW AS REASONABLY ACHIEVABLE (ALARA).

None
None


No

1
IC Title Form No. Form Name
MEDICAL LICENSE OCCUPATIONAL ALARA PROGRAM

  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 200 200 0 0 0 0
Annual Time Burden (Hours) 800 800 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.
05/20/1986


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