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⚠️ Notice: This information collection may be referencing outdated material.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 (OMB Copy) (12-20-2018).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 (OMB Copy) (12-20-2018).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: 1,074	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,074	-426	1,500
Annual IC Time Burden (Hours)	5,711	-1,514	7,225
Annual IC Cost Burden (Dollars)	0	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.