NRC Form 64, Travel Voucher

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 64 NRC Form 64, Travel Voucher	Form and Instruction	Modified	Missing upstream
30-day FRN Form 64.pdf	Supplementary Document	Uploaded 2021-02-23	Repair queued
Final supporting statement for NRC Form 64 Travel Voucher_LXA1edit.docx	Supporting Statement A	Uploaded 2021-02-23	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33490	NRC Form 64, Travel Voucher	Form and Instruction	Modified

ICR Details

OMB Control No: 3150-0192	ICR Reference No: 202102-3150-002
Status: Received in OIRA	Previous ICR Reference No: 201708-3150-006
Agency/Subagency: NRC	Agency Tracking No:
Title: NRC Form 64, Travel Voucher
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/23/2021

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2021
Responses	500	100
Time Burden (Hours)	500	100
Cost Burden (Dollars)	0	0

---

Abstract: Agreement States staff, representatives or employees and those invited by the Nuclear Regulatory Commission (NRC) to travel (e.g., Tribal representatives, State Liaison Officers, etc.) must file travel vouchers and trip reports in order to be reimbursed for their travel expenses. The individuals we fund includes managers and staff from the 39 Agreement State programs. Travelers do not receive a travel advance but are paid on a reimbursement basis only. The information collected includes the name, address, itemized expenses, and the amount to be reimbursed.

---

Authorizing Statute(s): PL: Pub.L. 83 - 703 1-311 Name of Law: Atomic Energy Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 65879	10/16/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 11008	02/23/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
NRC Form 64, Travel Voucher	Form 64	Travel Voucher

---

ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	500	100	0	0	400	0
Annual Time Burden (Hours)	500	100	0	0	400	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There has been an increase in burden from 100 hours and 100 responses to 500 hours and 500 responses, an increase of 400 hours and 400 responses. This change is attributed to a thorough review of travel records during the current clearance cycle to calculate the average number of Agreement State travelers during a typical year. This records review indicated that an average of 500 travelers annually submit the form. In addition, the NRC staff reviewed the form and determined that many of the fields on the form were no longer necessary for the processing of Agreement State travel reimbursements. The form was significantly shortened during the preparation of this clearance request. Specifically, the following fields were removed from the form: • Full SSN • Authorization number • Identification number (non-SSN • Reclaim voucher (yes/no) • Voucher status (partial/final) • Type of travel • Method of payment • Airline accommodations • Leave taken • Comparative travel • Transportation/ticket number/carrier/amount • Check number • Travel advance • Departure times Sections for examiners adjustments, cashier’s use, and accounting classification were also removed. Fields were added to indicate whether the traveler’s address had changed since the last travel (yes/no) and whether the traveler had direct deposit (yes/no). Finally, there has been an increase in burden from $265/hr to $279/hr.

---

Annual Cost to Federal Government: $69,750

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/23/2021

---