10 CFR 26, Fitness for Duty Program

10 CFR 26, Fitness for Duty Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0146 can be found here:

Documents and Forms

Document Name Document Type
Form NRC Form 890 10 CFR 26, Fitness for Duty Program Form and Instruction
NRC Form 890 Single Positive Test Form NRC Form 890 Single Positive Test Form.pdf Form and Instruction
NRC Form 891 Annual Reporting Form for Drug and Alcohol Tests NRC Form 891 Annual Reporting Form for Drug and Alcohol Tests.pdf Form and Instruction
NRC Form 892 Annual Fatigue Reporting Form NRC Form 892 Annual Fatigue Reporting Form.pdf Form

Information Collection (IC) Details

IC Title:	10 CFR 26, Fitness for Duty Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 26

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NRC Form 890	Single Positive Test Form	NRC Form 890 Single Positive Test Form.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	NRC Form 891	Annual Reporting Form for Drug and Alcohol Tests	NRC Form 891 Annual Reporting Form for Drug and Alcohol Tests.pdf	Yes	Yes	Fillable Fileable
Form	NRC Form 892	Annual Fatigue Reporting Form	NRC Form 892 Annual Fatigue Reporting Form.pdf	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 88,229	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 97 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	441,843	30,552	411,291
Annual IC Time Burden (Hours)	719,196	95,253	623,943
Annual IC Cost Burden (Dollars)	75,581	8,367	67,214

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.