NRC Form 659, Public Meeting Feedback Form

Generic Customer Satisfactions Surveys and NRC Form 671, Request for Review of a Customer Satisfaction Survey under Generic Clearance

Documents and Forms

Document Name Document Type
Form NRC Form 659 NRC Form 659, Public Meeting Feedback Form Form
NRC Form 659 Public Meeting Feedback Form Public Meeting Feedback NRC 659.pdf Form
NRC 671 PUBLIC MEETING FEEDBACK.pdf Supplemental information on Public Meeting Feedback Form IC Document

Information Collection (IC) Details

IC Title:	NRC Form 659, Public Meeting Feedback Form	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 659	Public Meeting Feedback Form	Public Meeting Feedback NRC 659.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supplemental information on Public Meeting Feedback Form	NRC 671 PUBLIC MEETING FEEDBACK.pdf	07/26/2012

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