Information Collection

NRC Form 171, "Duplication Request"

IC 33332 under ICR 200609-3150-006 · OMB 3150-0066.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0066 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 171 NRC Form 171, "Duplication Request"	Form
NRC Form 171 Duplication Request nrc171.pdf www.nrc.gov/reading-rm/doc-collections/forms/nrc171.pdf	Form

IC Title:

NRC Form 171, "Duplication Request"

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 10 CFR 9.21(b)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 171	Duplication Request	nrc171.pdf	http://www.nrc.gov/reading-rm/doc-collections/forms/nrc171.pdf	No		Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,940

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,940	-7,860	15,800
Annual IC Time Burden (Hours)	990	-893	1,883
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.