Comment Request Letters on 1) Safety and Safeguards Procedure SA-105 for Technical Quality of Incident and Allegation Activities and 2) Licensing Guidance on Perfexion and Icon Gamma Knives

Requests to Agreement States For Information

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0029 can be found here:

Documents and Forms

Document Name Document Type
Comment request letter on Safety and Safeguards procedure SA105.docx Other-Comment request letter
Comment request letter on Perfexion and Icon gamma knives.docx Other-Comment request letter
Safety and Safeguards procedure SA105 Allegations and Incidents for comment.docx Safety and Safeguards Procedure SA105 Allegations and Incidents (redline/strikeout version) IC Document
Generic clearance template for comment request on Safety and Safeguards Procedure SA105.docx Generic clearance template for Safety and Safeguards Procedure SA105 IC Document

Information Collection (IC) Details

IC Title:	Comment Request Letters on 1) Safety and Safeguards Procedure SA-105 for Technical Quality of Incident and Allegation Activities and 2) Licensing Guidance on Perfexion and Icon Gamma Knives	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
Other-Comment request letter			Comment request letter on Safety and Safeguards procedure SA105.docx		Yes	Yes	Fillable Fileable
Other-Comment request letter			Comment request letter on Perfexion and Icon gamma knives.docx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 37	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	74	74
Annual IC Time Burden (Hours)	222	222
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Safety and Safeguards Procedure SA105 Allegations and Incidents (redline/strikeout version)	Safety and Safeguards procedure SA105 Allegations and Incidents for comment.docx	01/28/2016
Generic clearance template for Safety and Safeguards Procedure SA105	Generic clearance template for comment request on Safety and Safeguards Procedure SA105.docx	01/28/2016

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