Claims Under the Radiation Exposure Compensation Act

ICR 200205-1105-001

OMB: 1105-0052

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
11746
Migrated
ICR Details
1105-0052 200205-1105-001
Historical Active 199809-1105-001
DOJ/LA
Claims Under the Radiation Exposure Compensation Act
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/11/2002
Retrieve Notice of Action (NOA) 05/03/2002
In accordance with 5 CFR 1320, this information collection is approved. The agency should ensure that an OMB burden statement appears on each form or the form's instructions. The revised forms should be submitted to OMB through an 83-C (change worksheet).
  Inventory as of this Action Requested Previously Approved
10/31/2005 10/31/2005
3,000 0 0
7,500 0 0
0 0 0

Information is collected to determine whether an individual is entitled to compensation under the Radiation Exposure Compensation Program, 42 U.S.C.A. Section 2210 note (West Supp. 2001). Applicants include individuals who resided near the Nevada Test Site; former uranium miners and millers; individuals employed in the transport of uranium ore; and individuals who participated onsite in an atmospheric nuclear test.

None
None


No

1
IC Title Form No. Form Name
Claims Under the Radiation Exposure Compensation Act

  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 3,000 0 0 3,000 0 0
Annual Time Burden (Hours) 7,500 0 0 7,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
05/03/2002


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