Information Collection

Application for Army Radiation Permit

IC 5180 under ICR 202211-0702-001 · OMB 0702-0109.

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Information Collection (IC) Details

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IC Title:	Application for Army Radiation Permit	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 32 CFR 655.10

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 235	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	235	0	235
Annual IC Time Burden (Hours)	470	0	470
Annual IC Cost Burden (Dollars)	34,254	17,334	16,920

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.