Information Collection

10 CFR 26, Fitness for Duty Program

IC 33422 under ICR 202202-3150-004 · OMB 3150-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
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 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 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
NRC Form 892 Annual Fatigue Reporting Form NRC Form 892 Annual Fatigue Reporting Form.pdf	Form

IC Title:

10 CFR 26, Fitness for Duty Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 26

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 70,560

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	366,617	366,617
Annual IC Time Burden (Hours)	597,896	597,896
Annual IC Cost Burden (Dollars)	20,780	20,780

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.