NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card

Forms and Documents

Document Name	Status
Form NRC Form 628 NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card Form	Modified
FINAL SS for Forms 629 and 629.docx Supporting Statement A	2011-05-02
NUREG BR-0254 Payment methods.pdf Supplementary Document	2011-05-02
NUREG BR-0238 handbook.pdf Supplementary Document	2011-05-02

IC Document Collections

IC ID	Document Title	Status
33486	NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card Form	Modified

ICR Details

OMB Control No: 3150-0190	ICR Reference No: 201011-3150-005
Status: Historical Active	Previous ICR Reference No: 200803-3150-001
Agency/Subagency: NRC	Agency Tracking No:
Title: NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/14/2011
	Date Received in OIRA: 05/10/2011
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for 3 years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved	06/30/2011
Responses	583	0	466
Time Burden (Hours)	47	0	38
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Department of the Treasury encourages the public to pay monies owed the government through use of the Automated Clearinghouse Network and credit cards. These two methods of payment are used by licensees, applicants, and individuals to pay civil penalties, full cost licensing fees, and inspection fees to the NRC. The NRC Form 628, "Financial EDI Authorization," provides an option to make electronic payment through the Automated Clearinghouse (ACH) Network and authorizes the licensee's bank to pay invoices to the NRC through the ACH. The NRC Form 628 requests the licensee's name; electronic funds transfer contact, telephone number, address, authorized signature and title. NRC Form 629, "Authorization for Payment by Credit Card," is another option used to authorize payment. The credit card authorization form is used by licensees to authorize payment by credit card for license fees and for payment of fees for fingerprint cards, and solicits information that identifies the cardholder's name, address, account number, card expiration date, cards accepted, cardholder's signature, invoice number or license number.

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Authorizing Statute(s): PL: Pub.L. 83 - 703 68 STAT 919 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:
	75 FR 80854	12/23/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 23628	04/27/2011
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
NUREG/BR-0238, Materials Annual Fee Billing Handbook, NRC Form 628, Financial EDI Authorization, NUREG/BR-0254, Payment Methods NRC Form 629, Authorization for Payment by Credit Card	NRC Form 628, NRC Form 629	Financial EDI Authorization ,   Authorization for Payment by Credit Card

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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	583	466	0	0	117	0
Annual Time Burden (Hours)	47	38	0	0	9	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 estimated burden increased by 9 hours from 38 to 47 hours and the estimated number of responses increased by 117 from 466 to 583 responses because of the following: (1) The burden for NRC Form 628, Financial EDI Authorization has increased by 0.1 hours from 0.8 hours to 0.9 hours. In addition, it has increased by one response, from 10 responses to 11 responses. The minor increase is an immaterial difference. (2) The burden for NRC Form 629, authorization for Payment by Credit Card and NUREG/BR-0254 has increased by 9 hours from 37 to 46 hours. The estimated number of forms submitted annually has increased from 456 to 572. The estimated number of forms submitted is based on the actual number of forms received by the NRC in FY2010. NRC has seen an increase in the number of payments by credit card since the last renewal due to an increased in the number of respondents who want to pay their invoices by credit card.

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Annual Cost to Federal Government: $0

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 05/10/2011

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