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NRC Form 5, Occupational Exposure Record for a Monitoring Period
NRC Form 5, Occupational Exposure Record for a Monitoring Period
OMB: 3150-0006
IC ID: 33130
OMB.report
NRC
OMB 3150-0006
ICR 200408-3150-003
IC 33130
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0006 can be found here:
2023-12-01 - Extension without change of a currently approved collection
2020-08-19 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NRC Form 5, Occupational Exposure Record for a Monitoring Period
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NRC-FORM-5
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,602
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
175,456
0
0
-194,756
0
370,212
Annual IC Time Burden (Hours)
67,460
0
0
778
0
66,682
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.