Information Collection

NRC Form 237, Request for Access Authorization

IC 33301 under ICR 201909-3150-004 · OMB 3150-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 237 NRC Form 237, Request for Access Authorization	Form and Instruction
NRC Form 237 Request for Access Authorization NRC 237 (OMB Copy) (07-22-2019) (fm).pdf	Form and Instruction

IC Title:

NRC Form 237, Request for Access Authorization

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 10 CFR 25 10 CFR 11

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NRC Form 237	Request for Access Authorization	NRC 237 (OMB Copy) (07-22-2019) (fm).pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

Title: NRC-39, Personnel Security Files and Associated RecordsâNRC

FR Citation: 81 FR 81348

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	-100	350
Annual IC Time Burden (Hours)	50	-20	70
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.