Information Collection

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

IC 33486 under ICR 201405-3150-004 · OMB 3150-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0190 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 629 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
NUREG_BR-0254_Payment_methods[1].pdf	Instruction
NUREG_BR-0238_handbook[1].pdf	Instruction
NRC Form 629 Authorization for Payment by Credit Card NRC 629 (MM-DD-YYYY) (PS).pdf	Form
NRC Form 628 Financial EDI Authorization NRC 628 (MM-DD-YYYY) (PS).pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC 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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 629	Authorization for Payment by Credit Card	NRC 629 (MM-DD-YYYY) (PS).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 628	Financial EDI Authorization	NRC 628 (MM-DD-YYYY) (PS).pdf	Yes	Yes	Fillable Printable
Instruction			NUREG_BR-0254_Payment_methods[1].pdf	Yes	Yes	Fillable Printable
Instruction			NUREG_BR-0238_handbook[1].pdf	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 545

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	545	-38	583
Annual IC Time Burden (Hours)	45	-2	47
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.