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10 CFR 26, Fitness for Duty Program
10 CFR 26, Fitness for Duty Programs
OMB: 3150-0146
IC ID: 33422
OMB.report
NRC
OMB 3150-0146
ICR 202009-3150-002
IC 33422
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0146 can be found here:
2024-08-01 - Revision of a currently approved collection
2023-05-17 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form NRC Form 890
10 CFR 26, Fitness for Duty Program
Form and Instruction
NRC Form 890 Single Positive Test Form
NRC Form 890 Single Positive Test Form.pdf
Form and Instruction
NRC Form 891 Annual Reporting Form for Drug and Alcohol Tests
NRC Form 891 Annual Reporting Form for Drug and Alcohol Tests.pdf
Form and Instruction
NRC Form 892 Annual Fatigue Reporting Form
NRC Form 892 Annual Fatigue Reporting Form.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
10 CFR 26, Fitness for Duty Program
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
10 CFR 26
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NRC Form 890
Single Positive Test Form
NRC Form 890 Single Positive Test Form.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
NRC Form 891
Annual Reporting Form for Drug and Alcohol Tests
NRC Form 891 Annual Reporting Form for Drug and Alcohol Tests.pdf
Yes
Yes
Fillable Fileable
Form
NRC Form 892
Annual Fatigue Reporting Form
NRC Form 892 Annual Fatigue Reporting Form.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
88,229
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
97 %
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
441,843
0
0
0
0
441,843
Annual IC Time Burden (Hours)
719,196
0
0
0
0
719,196
Annual IC Cost Burden (Dollars)
75,581
0
0
0
0
75,581
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.