Information Collection

NRC Form 354, Data Report on Spouse

IC 33234 under ICR 202102-3150-001 · OMB 3150-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0026 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 354 NRC Form 354, Data Report on Spouse	Form and Instruction
NRC Form 354 Data Report on Spouse NRC 354 (OMB Copy) (01-20-2021) LF.pdf	Form and Instruction
NRC Form 354 Data Report on Spouse NRC 354 (OMB Copy) (06-15-2021) .pdf	Form and Instruction

IC Title:

NRC Form 354, Data Report on Spouse

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

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 354	Data Report on Spouse	NRC 354 (OMB Copy) (06-15-2021) .pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title: Personnel Security Files and Associated Records

FR Citation: 76 FR 59448

Number of Respondents: 50

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-30	80
Annual IC Time Burden (Hours)	13	-3	16
Annual IC Cost Burden (Dollars)	0	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.