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NRC Form 354, Data Report on Spouse
NRC Form 354, Data Report on Spouse
OMB: 3150-0026
IC ID: 33234
OMB.report
NRC
OMB 3150-0026
ICR 202102-3150-001
IC 33234
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0026 can be found here:
2024-04-10 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
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
50
0
0
-30
0
80
Annual IC Time Burden (Hours)
13
0
0
-3
0
16
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.