Information Collection

Online Form PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR POWER REACTORS

IC 241816 under ICR 202005-3150-004 · OMB 3150-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Online Online Form PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR POWER REACTORS	Form
Online PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR POWE Online Form Respirator protection exemption request for for power reactors.docx	Form

IC Title:

Online Form PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR POWER REACTORS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 10 CFR 20

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	Online	PART 20 RESPIRATOR PROTECTION EXEMPTION REQUEST FOR POWER REACTORS	Online Form Respirator protection exemption request for for power reactors.docx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	80	80
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.