NRC Form 396, Certification of Medical Examination by Facility Licensee

Forms and Documents

Document Name	Status
Form 396 NRC Form 396, Certification of Medical Examination by Facility Licensee Form and Instruction	Modified
FinalSupporting Statement NRC Form 396 04-17-09.doc Supporting Statement A	2009-04-17

IC Document Collections

IC ID	Document Title	Status
33230	NRC Form 396, Certification of Medical Examination by Facility Licensee Form and Instruction	Modified

ICR Details

OMB Control No: 3150-0024	ICR Reference No: 200810-3150-003
Status: Historical Active	Previous ICR Reference No: 200511-3150-002
Agency/Subagency: NRC	Agency Tracking No:
Title: NRC Form 396, Certification of Medical Examination by Facility Licensee
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/17/2009
	Date Received in OIRA: 12/04/2008
Terms of Clearance: Corrections made to Supporting Statement and in ROCIS.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	04/30/2009
Responses	1,427	0	1,287
Time Burden (Hours)	789	0	758
Cost Burden (Dollars)	0	0	0

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Abstract: NRC Form 396 is used to transmit information to the NRC regarding the medical condition of applicants for initial operator licenses or renewal of operator licenses and for the maintenance of medical records for all licensed operators. The information is used to determine whether the physical condition and general health of applicants for operator licensees is such that the applicant would not be expected to cause operational errors and endanger public health and safety.

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Authorizing Statute(s): PL: Pub.L. 83 - 703 1-311 Name of Law: Atomic Energy Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 45083	08/01/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 65685	11/04/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
NRC Form 396, Certification of Medical Examination by Facility Licensee	396	Certification of Medical Examination by Facility Licensee

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ICR Summary 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	1,427	1,287	0	0	140	0
Annual Time Burden (Hours)	789	758	0	0	31	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 overall burden increased by 35 hours from 758 to 789 hours because of the following: the number of new applicants increased by 75 from 475 to 550, thereby increasing the burden by 18.75 hours; the number of renewals increased by 50 from 600 to 650, thereby increasing the burden by 12.50 hours, and the number of notices of disability increased by 15 from 75 to 90, thereby increasing the burden by 3.75 hours. There has been an increase in the overall cost as a result of an increase in the rate from $205/hr to $238/hr.

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Annual Cost to Federal Government: $70,199

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)? No

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: 12/04/2008

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