NRC Form 5 (3150-0006 Agreement State Licensees)

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

OMB: 3150-0203

IC ID: 181281

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NRC Form 5 (3150-0006 Agreement State Licensees)
 
No New
 
Mandatory
 
10 CFR 20

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NRC Form 5 Occupational Dose Record For A Monitoring Period nrc5.pdf No   Fillable Printable

Energy Energy Resource Management

NRC-27  69 FR 57601

800 0
   
State, Local, and Tribal Governments
 
   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 800 800 0 0 0 0
Annual IC Time Burden (Hours) 825 825 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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