Environment, Safety and Health

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-0300 can be found here:

Documents and Forms

Document Name Document Type
Environment, Safety and Health Form
Radiation Exposure Monitoring System REMS Data Elements.doc Form
Computerized Accident Incident Reporting System (CAIRS) Computerized Accident Incident Reporting System (CAIRS) Data Entry Screens.docx Form
Annual Fire Protection Summary Application Annual Fire Protection Reporting System Data Entry Screens.docx Form
Lessons Learned System Lessons Learned Data Entry Screens.docx Form
Occurrence Reporting and Processing System (ORPS) Occurrence Reporting and Processing System (ORPS) Data Entry Screens.docx Form
Safety Basis Information System (SBIS) Safety Basis Information System (SBIS) Data Entry Screens.doc.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Environment, Safety and Health	Agency IC Tracking Number:	Felecia Briggs

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Annual Fire Protection Summary Application	Annual Fire Protection Reporting System Data Entry Screens.docx	Yes	Yes	Fillable Fileable Signable
Form	NA	Lessons Learned System	Lessons Learned Data Entry Screens.docx	Yes	Yes	Fillable Fileable Signable
Form	NA	Occurrence Reporting and Processing System (ORPS)	Occurrence Reporting and Processing System (ORPS) Data Entry Screens.docx	Yes	Yes	Fillable Fileable Signable
Form	NA	Radiation Exposure Monitoring System	REMS Data Elements.doc	Yes	Yes	Fillable Fileable Signable
Form	NA	Computerized Accident Incident Reporting System (CAIRS)	Computerized Accident Incident Reporting System (CAIRS) Data Entry Screens.docx	Yes	Yes	Fillable Fileable Signable
Form	NA	Safety Basis Information System (SBIS)	Safety Basis Information System (SBIS) Data Entry Screens.doc.docx	Yes	Yes	Fillable Fileable Signable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,669	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	99,442	109	8,354	90,979
Annual IC Time Burden (Hours)	43,900	1,064	-26,724	69,560
Annual IC Cost Burden (Dollars)	0	0	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.