Information Collection

10 CFR 4, Nondiscrimination in Federally Assisted Commission Programs

IC 33310 under ICR 202010-3150-002 · OMB 3150-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0053 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 781 SBCR Compliance Review 10 CFR 4, Nondiscrimination in Federally Assisted Commission Programs	Form
Form NRC Form 782 10 CFR 4, Nondiscrimination in Federally Assisted Commission Programs	Form
Form NRC Form 782 Complaint Form 10 CFR 4, Nondiscrimination in Federally Assisted Commission Programs	Form
NRC Form 781 SBCR Compliance Review NRC 781 (OMB Copy).pdf	Form
NRC Form 781 SBCR Compliance Review NRC 781 (OMB Copy).pdf	Form
NRC Form 782 Complaint Form NRC 782 (OMB Copy with updated Privacy Act Statement).pdf	Form
NRC Form 782 Complaint Form NRC 782 (OMB Copy with updated Privacy Act Statement).pdf	Form

IC Title:

10 CFR 4, Nondiscrimination in Federally Assisted Commission Programs

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 4

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	NRC Form 781				Yes	Yes	Fillable Fileable
Form	NRC Form 782				Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title: EEOC-GOVT 1

FR Citation: 71 FR 24704

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	502	-298	800
Annual IC Time Burden (Hours)	802	-2,798	3,600
Annual IC Cost Burden (Dollars)	72	7	65

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.

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