Information Collection

Permit for Non-Army Agency Radiation Sources on Army Land

IC 5180 under ICR 201910-0702-001 · OMB 0702-0109.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0109 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	235	235
Annual IC Time Burden (Hours)	470	470
Annual IC Cost Burden (Dollars)	16,920	16,920

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.