10 CFR 40, Domestic Licensing of Source Material; and NRC Form 484, Detection Monitoring Data Report

ICR 200005-3150-003

OMB: 3150-0020

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
3150-0020 200005-3150-003
Historical Active 199705-3150-002
NRC
10 CFR 40, Domestic Licensing of Source Material; and NRC Form 484, Detection Monitoring Data Report
Extension without change of a currently approved collection   No
Regular
Approved without change 08/02/2000
Retrieve Notice of Action (NOA) 05/24/2000
  Inventory as of this Action Requested Previously Approved
08/31/2003 08/31/2003 07/31/2000
758 0 841
72,549 0 72,549
0 0 0

10 CFR 40 establishes requirements for licenses for the receipt, possession, use, and transfer of radioactive source and byproduct material. NRC Form 484 is used to report certain groundwater monitoring data required by 10 CFR 40 for uranium recovery licenses. The application, reporting, and recordkeeping require- ments are necessary to permit the NRC to make a determination on whether the possession, use, and transfer of source and by- product material is in conformance with the Commission's regula- tions for protection of public health and safety.

None
None


No

1
IC Title Form No. Form Name
10 CFR 40, Domestic Licensing of Source Material; and NRC Form 484, Detection Monitoring Data Report 484

  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 758 841 0 -83 0 0
Annual Time Burden (Hours) 72,549 72,549 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.
05/24/2000


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