NRC Form 354, Data Report on Spouse

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0026 can be found here:

Documents and Forms

Document Name Document Type
Form 354 NRC Form 354, Data Report on Spouse Form
354 Data Report On Spouse NRC Form 354 Data Report on Spouse with cohabitant signature block.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NRC Form 354, Data Report on Spouse	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	354	Data Report On Spouse	NRC Form 354 Data Report on Spouse with cohabitant signature block.pdf		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title: Personnel Security Files and Associated Records	FR Citation: 76 FR 59448

Number of Respondents: 80	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	16	16
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.