NRC Form 398, Personal Qualification Statement-Licensee

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Documents and Forms

Document Name Document Type
Form NRC Form 398 NRC Form 398, Personal Qualification Statement-Licensee Form
NRC Form 398 Personal Qualification Statement - Licensee nrc398.pdf Form

Information Collection (IC) Details

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IC Title:	NRC Form 398, Personal Qualification Statement-Licensee	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 55.47 10 CFR 55.57 10 CFR 55.31 10 CFR 55.35

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 398	Personal Qualification Statement - Licensee	nrc398.pdf		No		Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title: NRC-16	FR Citation: 67 FR 63784

Number of Respondents: 1,410	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,410	60	1,350
Annual IC Time Burden (Hours)	3,285	35	3,250
Annual IC Cost Burden (Dollars)	695,861	29,611	666,250

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.