Information Collection

NRC Form 850, Request for Contractor Assignment(s)

IC 209500 under ICR 202002-3150-002 · OMB 3150-0218.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0218 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 850 NRC Form 850, Request for Contractor Assignment(s)	Form and Instruction
NRC Form 850 Request for Contractor Assignment(s) NRC 850 (OMB Copy).pdf	Form and Instruction

IC Title:

NRC Form 850, Request for Contractor Assignment(s)

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 10

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 850	Request for Contractor Assignment(s)	NRC 850 (OMB Copy).pdf		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records

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

FR Citation: 81 FR 31348

Number of Respondents: 500

Number of Respondents for Small Entity: 230

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	85	85
Annual IC Cost Burden (Dollars)	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.