Nuclear Test Personnel Review Forms

ICR 200802-0704-001

OMB: 0704-0447

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
181351 Modified
ICR Details
0704-0447 200802-0704-001
Historical Active 200707-0704-002
DOD/DODDEP
Nuclear Test Personnel Review Forms
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 03/04/2008
Retrieve Notice of Action (NOA) 02/01/2008
  Inventory as of this Action Requested Previously Approved
03/31/2011 36 Months From Approved
370 0 0
463 0 0
11,563 0 0

The collection of this information is necessary to provide verification of participation and/or radiation dose assessment for atomic veterans seeking radiogenic disease compensation form the VA or DOJ.

US Code: 38 USC 1112 Name of Law: null
   US Code: 38 USC 1154 Name of Law: null
   US Code: 42 USC 2210 Name of Law: null
   PL: Pub.L. 98 - 542 xxx Name of Law: null
  
None

Not associated with rulemaking

  72 FR 4246 01/30/2007
72 FR 30556 06/01/2007
No

1
IC Title Form No. Form Name
Nuclear Test Personnel Review Forms DTRA Form 150, DTRA Form 150-A, DTRA Form 150-C, DTRA Form 150-B Nuclear Test Personnel Review Information Request and Release ,   Questionnaire for Continental United States Test Participants ,   Questionnaire for Oceanic Test Participants ,   Questionnaire for Crossroads Test Participants

  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 370 0 0 370 0 0
Annual Time Burden (Hours) 463 0 0 463 0 0
Annual Cost Burden (Dollars) 11,563 0 0 11,563 0 0
Yes
Miscellaneous Actions
No
Collection for existing program

$74,300
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Patricia Toppings 703 696-5284 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/01/2008


© 2024 OMB.report | Privacy Policy