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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NRC Form 664 General Licensee Registration	Form	New	Available
Form NRC Form 664 General Licensee Registration	Form	New	Available
Form NRC Form 314 Certificate of Disposition of Materials	Form and Instruction	New	Available
Form NRC Form 313A (RSO Radiation Safety Officer Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (AUT Authorized User Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (AUS Authorized User Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (AUD Authorized User Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (ANP Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313 Application for Material License	Form	New	Available
Form NRC Form 313A (AMP Authorized Medical Physicist Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (RSO Radiation Safety Officer Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (AUT Authorized User Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (AUS Authorized User Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (AUD Authorized User Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (ANP Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313A (AMP Authorized Medical Physicist Training and Experience and Preceptor Attestation	Form	New	Available
Form NRC Form 313 Application for Material License	Form	New	Available
Form NRC Form 5 Occupational Dose Record For A Monitoring Period	Form and Instruction	New	Available
Form NRC Form 5 Occupational Dose Record For A Monitoring Period	Form and Instruction	New	Available
Form NRC Form 4 Cumulative Occupational Dose History	Form and Instruction	New	Available
Form NRC Form 4 Cumulative Occupational Dose History	Form and Instruction	New	Available
NARMFinalRuleSS.wpd	Supporting Statement A	Uploaded 2007-07-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181286	NRC Form 664 (3150-0198 Agreement State Licensees)	Form	New	General Licensee Registration
181285	NRC Form 664 (3150-0198 NRC Licensees)	Form	New	General Licensee Registration
181284	NRC Form 314 (3150-0028 NRC Licensees)	Form and Instruction	New	Certificate of Disposition of Materials
181283	NRC Form 313 and 313A (3150-0120 Agreement State Licensees)	Form	New	Radiation Safety Officer Training and Experience and Preceptor Attestation
181283	NRC Form 313 and 313A (3150-0120 Agreement State Licensees)	Form	New	Authorized User Training and Experience and Preceptor Attestation
181283	NRC Form 313 and 313A (3150-0120 Agreement State Licensees)	Form	New	Authorized User Training and Experience and Preceptor Attestation
181283	NRC Form 313 and 313A (3150-0120 Agreement State Licensees)	Form	New	Authorized User Training and Experience and Preceptor Attestation
181283	NRC Form 313 and 313A (3150-0120 Agreement State Licensees)	Form	New	Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation
181283	NRC Form 313 and 313A (3150-0120 Agreement State Licensees)	Form	New	Application for Material License
181283	NRC Form 313 and 313A (3150-0120 Agreement State Licensees)	Form	New	Authorized Medical Physicist Training and Experience and Preceptor Attestation
181282	NRC Form 313 and 313A (3150-0120 NRC Licensees)	Form	New	Radiation Safety Officer Training and Experience and Preceptor Attestation
181282	NRC Form 313 and 313A (3150-0120 NRC Licensees)	Form	New	Authorized User Training and Experience and Preceptor Attestation
181282	NRC Form 313 and 313A (3150-0120 NRC Licensees)	Form	New	Authorized User Training and Experience and Preceptor Attestation
181282	NRC Form 313 and 313A (3150-0120 NRC Licensees)	Form	New	Authorized User Training and Experience and Preceptor Attestation
181282	NRC Form 313 and 313A (3150-0120 NRC Licensees)	Form	New	Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation
181282	NRC Form 313 and 313A (3150-0120 NRC Licensees)	Form	New	Authorized Medical Physicist Training and Experience and Preceptor Attestation
181282	NRC Form 313 and 313A (3150-0120 NRC Licensees)	Form	New	Application for Material License
181281	NRC Form 5 (3150-0006 Agreement State Licensees)	Form and Instruction	New	Occupational Dose Record For A Monitoring Period
181280	NRC Form 5 (3150-0006 NRC Licensees)	Form and Instruction	New	Occupational Dose Record For A Monitoring Period
181279	NRC Form 4 (3150-0005 Agreement State Licensees RK Burden)	Form and Instruction	New	Cumulative Occupational Dose History
181278	NRC Form 4 (3150-0005 NRC Licensees RK Burden)	Form and Instruction	New	Cumulative Occupational Dose History
181274	10 CFR Part 35 (3150-0010 Agreement State Licensees)		New
181273	10 CFR Part 35 (3150-0010 NRC Licensees)		New
181272	10 CFR Part 20 (3150-0014)		New
181271	10 CFR Part 19 ( 3150-0044)		New
181270	10 CFR Part 32 (3150-0001 Agreement State Licensees)		New
181269	10 CFR Part 32 (3150-0001 NRC Licensees)		New
181267	10 CFR Part 31 (3150-0016 Agreement State Licensees)		New
181266	10 CFR Part 31 (3150-0016 NRC Licensees)		New
181265	10 CFR Part 30 (3150-0017 Agreement State Licensees)		New
181264	10 CFR Part 30 (3150-0017 NRC Licensees)		New

ICR Details

OMB Control No: 3150-0203	ICR Reference No: 200707-3150-007
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: NRC	Agency Tracking No:
Title: 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
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/23/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/25/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2010	36 Months From Approved
Responses	5,045	0	0
Time Burden (Hours)	120,888	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The collection provides information for licensing and compliance with licensing for disrete sources of radium-226, accelerator-produced radioactive materials, and discrete sources of naturally occurring radioactive material, as required by the Energy Policy Act of 2005 (EPAct).

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Authorizing Statute(s): PL: Pub.L. 109 - 58 119 STAT. 594 Name of Law: Energy Policy Act of 2005
  

Citations for New Statutory Requirements: PL: Pub.L. 109 - 58 119 STAT 594 Name of Law: Energy Policy Act of 2005

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
3150-AH84	Final or interim final rulemaking	71 FR 42951	07/28/2006

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 42951	07/28/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 19

table that charts list of burden

IC Title	Form No.	Form Name
10 CFR Part 19 ( 3150-0044)
10 CFR Part 20 (3150-0014)
10 CFR Part 30 (3150-0017 Agreement State Licensees)
10 CFR Part 30 (3150-0017 NRC Licensees)
10 CFR Part 31 (3150-0016 Agreement State Licensees)
10 CFR Part 31 (3150-0016 NRC Licensees)
10 CFR Part 32 (3150-0001 Agreement State Licensees)
10 CFR Part 32 (3150-0001 NRC Licensees)
10 CFR Part 35 (3150-0010 Agreement State Licensees)
10 CFR Part 35 (3150-0010 NRC Licensees)
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)	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
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
NRC Form 314 (3150-0028 NRC Licensees)	NRC Form 314	Certificate of Disposition of Materials
NRC Form 4 (3150-0005 Agreement State Licensees RK Burden)	NRC Form 4	Cumulative Occupational Dose History
NRC Form 4 (3150-0005 NRC Licensees RK Burden)	NRC Form 4	Cumulative Occupational Dose History
NRC Form 5 (3150-0006 Agreement State Licensees)	NRC Form 5	Occupational Dose Record For A Monitoring Period
NRC Form 5 (3150-0006 NRC Licensees)	NRC Form 5	Occupational Dose Record For A Monitoring Period
NRC Form 664 (3150-0198 Agreement State Licensees)	NRC Form 664	General Licensee Registration
NRC Form 664 (3150-0198 NRC Licensees)	NRC Form 664	General Licensee Registration

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ICR Summary of Burden

table that charts list of burden

	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The Energy Policy Act of 2005 required regulation of discrete radium-226 sources or accelerator-produced radioactive material used for commercial, medical, or research activities.

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Annual Cost to Federal Government: $1,173,433

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/25/2007

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