OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Security

IC 23402 under ICR 200809-1910-004 · OMB 1910-1800.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form DOE F 472.1
Fair Credit Reporting Act Authorization Security		 Form and Instruction
Form DOE F 5631.5
The Conduct of Personnel Security Interviews Under DOE Security Regulations Security		 Form and Instruction
Form DOE F 5631.18
Security Acknowledgement Security		 Form
Form DOE F 5631.29
Security Termination Statement Security		 Form
Form DOE-F-5639.3
US Department of Energy Report of Security Incident/Infraction Security		 Form
Form DOE-F-5631.34
US Department of Energy Data Report on Spouse/Cohabitant Security		 Form
Form DOE/NRC-F-740M
US Department of Energy and US Nuclear Regulatory Commission Concise Note Security		 Form
Form DOE/NRC-F-742C
US Department of Energy and US Nuclear Regulatory Commission Physical Inventory Listing Security		 Form
Form DOE/NRC-F-741
US Department of Energy and US Nuclear Regulatory Commission Nuclear Material Transaction Report Security		 Form
Form DOE/NRC-F-742
US Department of Energy and US Nuclear Regulatory Commission Material Balance Report Security		 Form
Form DOE/NRC-F-749
US Department of Energy ADP Transcription Sheet Internal Project Transfers Security		 Form
Form SF-328
Certificate Pertaining to Foreign Interests Security		 Form
Form DOE-F-471.1
US Department of Energy Office of Safeguards and Security Security Incident Notification Report Security		 Form
Form DOE F 5631.20
US Department of Energy Request for Visit or Access Approval Security		 Form
DOE F 472.1 Fair Credit Reporting Act Authorization
DOE F 472 1.pdf 		Form and Instruction
DOE F 5631.5 The Conduct of Personnel Security Interviews Under DOE S
DOE F 5631 5.pdf 		Form and Instruction
DOE F 5631.18 Security Acknowledgement
DOE F 5631 18.pdf 		Form
DOE F 5631.29 Security Termination Statement
DOE F 5631 29.pdf 		Form
DOE-F-5639.3 US Department of Energy Report of Security Incident/Infr
5639-3.pdf 		Form
DOE-F-5631.34 US Department of Energy Data Report on Spouse/Cohabitant
doe f 5631.34.pdf 		Form
DOE/NRC-F-740M US Department of Energy and US Nuclear Regulatory Commis
nrc740m.pdf 		Form
DOE/NRC-F-742C US Department of Energy and US Nuclear Regulatory Commis
NRC_742C.pdf 		Form
DOE/NRC-F-741 US Department of Energy and US Nuclear Regulatory Commis
741.pdf 		Form
DOE/NRC-F-742 US Department of Energy and US Nuclear Regulatory Commis
doe-nrc f742.pdf 		Form
DOE/NRC-F-749 US Department of Energy ADP Transcription Sheet Internal
749.pdf 		Form
SF-328 Certificate Pertaining to Foreign Interests
sf328.pdf 		Form
DOE-F-471.1 US Department of Energy Office of Safeguards and Securit
471-1.pdf 		Form
DOE F 5631.20 US Department of Energy Request for Visit or Access Appr
5631_20outside.pdf 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 DOE-F-5639.3 Yes Yes Fillable Printable
Form DOE-F-5631.34 Yes Yes Fillable Printable
Form DOE/NRC-F-740M Yes Yes Fillable Printable
Form DOE/NRC-F-742C Yes No Fillable Printable
Form DOE/NRC-F-741 Yes Yes Fillable Printable
Form DOE/NRC-F-742 Yes No Fillable Printable
Form DOE/NRC-F-749 Yes Yes Fillable Printable
Form SF-328 Yes Yes Fillable Printable
Form DOE-F-471.1 Yes Yes Fillable Printable
Form DOE F 5631.20 Yes No Fillable Printable
Form and Instruction DOE F 472.1 Yes No Fillable Fileable
Form and Instruction DOE F 5631.5 Yes No Printable Only
Form DOE F 5631.18 Yes No Fillable Fileable Signable
Form DOE F 5631.29 Yes No Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 121,637 0 57,796 0 0 63,841
Annual IC Time Burden (Hours) 264,023 0 14,068 0 0 249,955
Annual IC Cost Burden (Dollars) 0 0 0 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.
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