NRC Form 659, Public Meeting Feedback Form

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0217 can be found here:

Documents and Forms

Document Name Document Type
NRC_ Public Meeting Feedback screenshots.pdf Other-online feedback form
NRC Form 659 Public Meeting Feedback Form NRC 659 public meeting feedback form.pdf Form
Generic submisison template for public meeting feedback form.pdf Generic submission template for NRC Form 659, 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
Other-online feedback form			NRC_ Public Meeting Feedback screenshots.pdf		Yes	Yes	Fillable Fileable
Form	NRC Form 659	Public Meeting Feedback Form	NRC 659 public meeting feedback form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic submission template for NRC Form 659, Public meeting feedback form	Generic submisison template for public meeting feedback form.pdf	02/13/2017

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