NRC Form 212, Qualifications Investigation Professional, Technical, and Administrative Positions

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NRC Form 212 NRC Form 212, Qualifications Investigation, Professional, Technical, and Administrative Positions	Form	Modified	Available
NRC Form 212 Final Supporting Statement.docx	Supporting Statement A	Uploaded 2020-04-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33255	NRC Form 212, Qualifications Investigation, Professional, Technical, and Administrative Positions	Form	Modified

ICR Details

OMB Control No: 3150-0033	ICR Reference No: 202004-3150-004
Status: Active	Previous ICR Reference No: 201701-3150-001
Agency/Subagency: NRC	Agency Tracking No:
Title: NRC Form 212, Qualifications Investigation Professional, Technical, and Administrative Positions
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/19/2020
	Date Received in OIRA: 04/21/2020
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	36 Months From Approved	06/30/2020
Responses	500	0	1,000
Time Burden (Hours)	250	0	500
Cost Burden (Dollars)	0	0	0

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Abstract: Information requested on NRC Form 212, "Qualifications Investigation, Professional, Technical, and Administrative Positions" is used to determine the qualifications and suitability of external applicants for employment with the NRC. The completed form may be used to examine, rate and/or assess the prospective employee's qualifications. The information regarding the qualifications of applicants for employment is reviewed by professional personnel of the Office of the Chief Human Capital Officer, in conjunction with other information in the NRC files, to determine the qualifications of the applicant for appointment to the position under consideration.

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Authorizing Statute(s): PL: Pub.L. 83 - 703 1-311 Name of Law: Atomic Energy Act of 1954
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 55593	10/17/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 21032	04/15/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
NRC Form 212, Qualifications Investigation, Professional, Technical, and Administrative Positions	NRC Form 212	Qualifications Investigation Professional, Technical, and Administrative Positions

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	500	1,000	0	0	-500	0
Annual Time Burden (Hours)	250	500	0	0	-250	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The estimated burden has decreased from 500 hours annually to 250 hours annually, a decrease of 250 hours. The number of forms that NRC staff anticipates receiving has decreased from 1,000 forms annually to 500 forms annually. This decrease is due to a decline in external hiring since the last renewal of this information collection. The NRC staff estimates that the fiscal environment of reduced external hiring will continue during the upcoming clearance period. The NRC Form 212 is only used as part of the suitability investigation of external candidates as part of the hiring process. A reduction in external hires results in a reduction in the number of NRC Form 212s that are completed.

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Annual Cost to Federal Government: $69,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/21/2020

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