Information Collection

Nuclear Test Personnel Review Forms

IC 181351 under ICR 201405-0704-002 · OMB 0704-0447.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0447 can be found here:

Documents and Forms

Document Name Document Type
Form DTRA Form 150 Nuclear Test Personnel Review Forms Form
DTRA Form 150 Nuclear Test Personnel Review Information Request and Re 1-DTRA Form 150-Information Release - MAY 2014.pdf Form
DTRA Form 150-A Questionnaire for Continental United States Test Partici 2-DTRA Form 150-A-Continental Questionnaire - MAY 2014.pdf Form
DTRA Form 150-B Questionnaire for Oceanic Test Participants 3-DTRA Form 150-B-Oceanic Questionnaire - MAY 2014.pdf Form
DTRA Form 150-C Questionnaire for Crossroads Test Participants 4-DTRA Form 150-C-Xroads Questionnaire - MAY 2014.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nuclear Test Personnel Review Forms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 32 CFR 218

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	DTRA Form 150	Nuclear Test Personnel Review Information Request and Release	1-DTRA Form 150-Information Release - MAY 2014.pdf	No	Paper Only
Form	DTRA Form 150-A	Questionnaire for Continental United States Test Participants	2-DTRA Form 150-A-Continental Questionnaire - MAY 2014.pdf	No	Paper Only
Form	DTRA Form 150-B	Questionnaire for Oceanic Test Participants	3-DTRA Form 150-B-Oceanic Questionnaire - MAY 2014.pdf	No	Paper Only
Form	DTRA Form 150-C	Questionnaire for Crossroads Test Participants	4-DTRA Form 150-C-Xroads Questionnaire - MAY 2014.pdf	No	Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title: Nuclear Test Participants	FR Citation: 70 FR 46154

Number of Respondents: 370	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	370	370
Annual IC Time Burden (Hours)	463	463
Annual IC Cost Burden (Dollars)	11,563	11,563

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.