NRC Form 398, Personal Qualification Statement-Licensee

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0090 can be found here:

Documents and Forms

Document Name Document Type
Form Form 398 NRC Form 398, Personal Qualification Statement-Licensee Form and Instruction
Form 398 NRC Form 398, Personal Qualification Statement-Licensee NRC 398 (Final Draft) (07-21-2017).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 398, Personal Qualification Statement-Licensee	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 55

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 398	NRC Form 398, Personal Qualification Statement-Licensee	NRC 398 (Final Draft) (07-21-2017).pdf		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title: NRC-16	FR Citation: 77 FR 67217

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 40 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	7,225	7,225
Annual IC Cost Burden (Dollars)	0	0

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.