NRC Form 171, Duplication Request

Forms and Documents

Document Name	Status
Form NRC 171 NRC Form 171, "Duplication Request" Form	Modified
FRN dated 11-14-2018 for NRC 171 Duplication Request.pdf Supplementary Document	2018-11-19
FRN 60-day NRC Form 171 dated 8-14-2018.pdf Supplementary Document	2018-11-08
FINAL supporting statement for NRC Form 171 11-06-18.docx Supporting Statement A	2018-11-08

IC Document Collections

IC ID	Document Title	Status
33332	NRC Form 171, "Duplication Request" Form	Modified

ICR Details

OMB Control No: 3150-0066	ICR Reference No: 201811-3150-003
Status: Active	Previous ICR Reference No: 201511-3150-006
Agency/Subagency: NRC	Agency Tracking No: NRC-2018-0094
Title: NRC Form 171, Duplication Request
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/02/2019
	Date Received in OIRA: 11/20/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2022	36 Months From Approved	04/30/2019
Responses	74	0	108
Time Burden (Hours)	6	0	9
Cost Burden (Dollars)	0	0	0

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Abstract: NRC Form 171 is used by the Public Document Room (PDR) staff members to collect information from the public requesting reproduction of publicly available documents in NRC Headquarters' PDR. The information collected on the form is necessary for the reproduction contractor to process and fulfill reproduction service orders from members of the public. Copies of the form are used by the reproduction contractor to accompany the orders. One copy of the form is kept by the contractor for their records, one copy is sent to the public requesting the documents, and the third copy (with no credit card data) is kept by the PDR staff for 90 calendar days, and then securely discarded.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 40341	08/14/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 56884	11/14/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
NRC Form 171, "Duplication Request"	NRC 171	Duplication Request

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	74	108	0	0	-34	0
Annual Time Burden (Hours)	6	9	0	0	-3	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has decreased by 3 hours from 9 to 6 hours as a result of more microfiche documents being retrofitted or scanned into ADAMS. Users can now view and print these documents without making a duplication request. Since the deployment of Web-based ADAMS to the public, there has been a decrease in the number of requests from the public to duplicate documents. Based on the number of requests received during the past three years, we estimate a 68.5% decrease in the number of requests during this 3-year renewal period. The changes in burden cost reflect a decrease in NRC's recoverable fee rate, which decreased from $279/hr. to $263/hr.

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Annual Cost to Federal Government: $1,578

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/20/2018

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