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Permit for Non-Army Agency Radiation Sources on Army Land
Permit for Non-Army Agency Radiation Sources on Army Land
OMB: 0702-0109
IC ID: 5180
OMB.report
DOD/DOA
OMB 0702-0109
ICR 201910-0702-001
IC 5180
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0109 can be found here:
2022-12-30 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form DA From 3337
Permit for Non-Army Agency Radiation Sources on Army Land
Form
DA From 3337 APPLICATION FOR ARMY RADIATION AUTHORIZATION
A3337 2019.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Permit for Non-Army Agency Radiation Sources on Army Land
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
DA From 3337
APPLICATION FOR ARMY RADIATION AUTHORIZATION
A3337 2019.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
235
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
235
0
0
0
235
0
Annual IC Time Burden (Hours)
470
0
0
0
470
0
Annual IC Cost Burden (Dollars)
16,920
0
0
0
16,920
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.