Information Collection Request

10 CFR Parts 20, 30, 31, 32, & 35, "Requirements for Expanded Definition of Byproduct Material," Final Rule, and NRC Forms 4, 5, 313, 314 & 664

ICR 200707-3150-007 · OMB 3150-0203 · Historical Active

ICR Details

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  Inventory as of this Action Requested Previously Approved
08/31/2010 36 Months From Approved
5,045 0 0
120,888 0 0
0 0 0





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19
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IC Title Form No. Form Name
10 CFR Part 32 (3150-0001 NRC Licensees)
10 CFR Part 32 (3150-0001 Agreement State Licensees)
10 CFR Part 20 (3150-0014)
10 CFR Part 35 (3150-0010 NRC Licensees)
NRC Form 4 (3150-0005 NRC Licensees RK Burden) NRC Form 4 Cumulative Occupational Dose History
NRC Form 314 (3150-0028 NRC Licensees) NRC Form 314 Certificate of Disposition of Materials
10 CFR Part 35 (3150-0010 Agreement State Licensees)
NRC Form 664 (3150-0198 Agreement State Licensees) NRC Form 664 General Licensee Registration
10 CFR Part 19 ( 3150-0044)
NRC Form 313 and 313A (3150-0120 Agreement State Licensees) NRC Form 313, NRC Form 313A (AMP), NRC Form 313A (RSO), NRC Form 313A (AUD), NRC Form 313A (ANP), NRC Form 313A (AUS), NRC Form 313A (AUT) Authorized Medical Physicist Training and Experience and Preceptor Attestation ,   Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation ,   Authorized User Training and Experience and Preceptor Attestation ,   Authorized User Training and Experience and Preceptor Attestation ,   Authorized User Training and Experience and Preceptor Attestation ,   Radiation Safety Officer Training and Experience and Preceptor Attestation ,   Application for Material License
NRC Form 664 (3150-0198 NRC Licensees) NRC Form 664 General Licensee Registration
NRC Form 4 (3150-0005 Agreement State Licensees RK Burden) NRC Form 4 Cumulative Occupational Dose History
NRC Form 313 and 313A (3150-0120 NRC Licensees) NRC Form 313A (ANP), NRC Form 313A (RSO), NRC Form 313A (AUD), NRC Form 313, NRC Form 313A (AMP), NRC Form 313A (AUS), NRC Form 313A (AUT) Application for Material License ,   Authorized Medical Physicist Training and Experience and Preceptor Attestation ,   Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation ,   Authorized User Training and Experience and Preceptor Attestation ,   Authorized User Training and Experience and Preceptor Attestation ,   Authorized User Training and Experience and Preceptor Attestation ,   Radiation Safety Officer Training and Experience and Preceptor Attestation
10 CFR Part 30 (3150-0017 NRC Licensees)
NRC Form 5 (3150-0006 NRC Licensees) NRC Form 5 Occupational Dose Record For A Monitoring Period
10 CFR Part 31 (3150-0016 NRC Licensees)
10 CFR Part 30 (3150-0017 Agreement State Licensees)
10 CFR Part 31 (3150-0016 Agreement State Licensees)
NRC Form 5 (3150-0006 Agreement State Licensees) NRC Form 5 Occupational Dose Record For A Monitoring Period

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  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 5,045 0 5,045 0 0 0
Annual Time Burden (Hours) 120,888 0 120,888 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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