Information Collection

NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation

IC 33369 under ICR 201807-3150-004 · OMB 3150-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0120 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 313A NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form
NRC Form 313A Medical Use Training and Experience and Preceptor Attest NRC 313A.pdf	Form
NRC Form 313A (RSO Radiation Safety Officer Training and Experience and Pre NRC 313A (RSO).pdf	Form
NRC Form 313A (AMP Authorized Medical Physicist Training and Experience and NRC 313A (AMP).pdf	Form
NRC Form 313A (ANP Authorized Nuclear Pharmacist Training and Experience an NRC 313A (ANP).pdf	Form
NRC Form 313A (AUD Auhorized User Training and Experience and Preceptor Att NRC 313A (AUD).pdf	Form
NRC Form 313A (AUT Authorized User Training and Experience and Preceptor At NRC 313A (AUT).pdf	Form
NRC Form 313A (AUS Authorized User Training and Experience and Preceptor At NRC 313A (AUS).pdf	Form
NRC Form 313 Application for Materials License NRC 313.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR Part 33 10 CFR Part 32 10 CFR Part 34 10 CFR Part 35 10 CFR Part 36 10 CFR Part 39 10 CFR Part 40 10 CFR Part 30 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 313A	Medical Use Training and Experience and Preceptor Attestation	NRC 313A.pdf	Yes	Yes	Fillable Printable
Form	NRC Form 313A (RSO)	Radiation Safety Officer Training and Experience and Preceptor Attestation	NRC 313A (RSO).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 313A (AMP)	Authorized Medical Physicist Training and Experience and Preceptor Attestation	NRC 313A (AMP).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 313A (ANP)	Authorized Nuclear Pharmacist Training and Experience and Preceptor Attestation	NRC 313A (ANP).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 313A (AUD)	Auhorized User Training and Experience and Preceptor Attestation	NRC 313A (AUD).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 313A (AUT)	Authorized User Training and Experience and Preceptor Attestation	NRC 313A (AUT).pdf	Yes	Yes	Fillable Printable
Form	NRC Form 313A (AUS)	Authorized User Training and Experience and Preceptor Attestation	NRC 313A (AUS).pdf	Yes	Yes	Fillable Printable
Form and Instruction	NRC Form 313	Application for Materials License	NRC 313.pdf	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,281

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	18,814	3,533	15,281
Annual IC Time Burden (Hours)	60,704	-5,004	65,708
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.