NRC Form 664 (3150-0198 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

Documents and Forms

Document Name Document Type
Form NRC Form 664 NRC Form 664 (3150-0198 Agreement State Licensees) Form
NRC Form 664 General Licensee Registration nrc664.pdf Form

Information Collection (IC) Details

IC Title:	NRC Form 664 (3150-0198 Agreement State Licensees)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 31.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 664	General Licensee Registration	nrc664.pdf		No		Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-12	12
Annual IC Time Burden (Hours)	-4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.