NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NRC Form 313 Application for Materials License	Form	Modified	Available
Form NRC Form 313 APPLICATION FOR MATERIALS LICENSE	Form	Modified	Available
Form NRC Form 313A (AUS AUTHORIZED USER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION (for uses defined under 35.400 and 35.600) [10 CFR 35.57, 35.490, 35.491, and 35.690]	Form	Modified	Available
Form NRC Form 313A (ANP AUTHORIZED NUCLEAR PHARMACIST TRAINING, EXPERIENCE, AND PRECEPTOR ATTESTATION [10 CFR 35.55]	Form	Modified	Available
Form NRC Form 313A (AUT AUTHORIZED USER TRAINING, EXPERIENCE, AND PRECEPTOR ATTESTATION (for uses defined under 35.300) [10 CFR 35.57, 35.390, 35.392, 35.394, and 35.396]	Form	Modified	Available
Form NRC Form 313A (AUD AUTHORIZED USER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION (for uses defined under 35.100, 35.200, and 35.500) [10 CFR 35.57, 35.190, 35.290, and 35.590]	Form	Modified	Repair queued
Form NRC Form 313A (AMP AUTHORIZED MEDICAL PHYSICIST OR OPHTHALMIC PHYSICIST, TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION [10 CFR 35.51, 35.57(a)(3), and 35.433]	Form	Modified	Available
Form NRC Form 313A (RSO RADIATION SAFETY OFFICER OR ASSOCIATE RADIATION SAFETY OFFICER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION [10 CFR 35.57, 35.50]	Form	Modified	Available
Form NRC Form 313A (RSO NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	Repair queued
NRC Form 313 FINAL Final Supporting Statement.docx	Supporting Statement A	Uploaded 2022-11-23	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	Application for Materials License
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	APPLICATION FOR MATERIALS LICENSE
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	AUTHORIZED USER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION (for uses defined under 35.400 and 35.600) [10 CFR 35.57, 35.490, 35.491, and 35.690]
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	AUTHORIZED NUCLEAR PHARMACIST TRAINING, EXPERIENCE, AND PRECEPTOR ATTESTATION [10 CFR 35.55]
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	AUTHORIZED USER TRAINING, EXPERIENCE, AND PRECEPTOR ATTESTATION (for uses defined under 35.300) [10 CFR 35.57, 35.390, 35.392, 35.394, and 35.396]
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	AUTHORIZED USER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION (for uses defined under 35.100, 35.200, and 35.500) [10 CFR 35.57, 35.190, 35.290, and 35.590]
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	AUTHORIZED MEDICAL PHYSICIST OR OPHTHALMIC PHYSICIST, TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION [10 CFR 35.51, 35.57(a)(3), and 35.433]
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified	RADIATION SAFETY OFFICER OR ASSOCIATE RADIATION SAFETY OFFICER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION [10 CFR 35.57, 35.50]
33369	NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	Form	Modified

ICR Details

OMB Control No: 3150-0120	ICR Reference No: 202211-3150-005
Status: Historical Active	Previous ICR Reference No: 202008-3150-003
Agency/Subagency: NRC	Agency Tracking No:
Title: NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/27/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/23/2022
Terms of Clearance: In accordance with 5 CFR 1320, the non-substantive change request is approved.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2026	36 Months From Approved	07/31/2023
Responses	12,222	0	8,904
Time Burden (Hours)	49,359	0	35,634
Cost Burden (Dollars)	0	0	0

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Abstract: Applicants must submit NRC Form 313, which may include the six forms in the 313A series, to obtain a specific license to possess, use, or distribute byproduct or source material. These six forms in the 313A series are: (1) NRC Form 313A (RSO), ‘‘Radiation Safety Officer or Associate Radiation Safety Officer Training, Experience and Preceptor Attestation [10 CFR 35.57, 35.50]’’; (2) NRC Form 313A (AMP), ‘‘Authorized Medical Physicist or Ophthalmic Physicist, Training, Experience and Preceptor Attestation [10 CFR 35.51, 35.57(a)(3), and 35.433’’; (3) NRC Form 313A (ANP), ‘‘Authorized Nuclear Pharmacist Training, Experience, and Preceptor Attestation 10 CFR 35.55’’; (4) NRC Form 313A (AUD), ‘‘Authorized User Training, Experience and Preceptor Attestation (for uses defined under 35.100, 35.200, and 35.500) 10 CFR 35.57, 35.190 35.290, and 35.590’’; (5) NRC Form 313A (AUT), ‘‘Authorized User Training, Experience, and Preceptor Attestation (for uses defined under 35.300) 10 CFR 35.57, 35.390, 35.392, 35.394 , and 35.396’’; and (6) NRC Form 313A (AUS), ‘‘Authorized User Training, Experience and Preceptor Attestation (for uses defined under 35.400 and 35.600) 10 CFR 35.57, 35.490, 35.491, and 35.690.’’ The NRC Form 313A series of forms requires preceptor attestations for certain individuals. The preceptor attestation is provided by a third party and not an applicant or licensee. The information is reviewed by the NRC to determine whether the applicant is qualified by training and experience, and has equipment, facilities, and procedures which are adequate to protect the public health and safety and minimize danger to life or property.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 52032	08/24/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 71697	11/23/2022
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
NRC Form 313, Application for Material License, NRC Form 313A, Medical Use Training and Experience and Preceptor Attestation	NRC Form 313A (AMP), NRC Form 313A (RSO), NRC Form 313A (AUS), NRC Form 313A (AUD), NRC Form 313, NRC Form 313A (AUT), NRC Form 313A (ANP), NRC Form 313	RADIATION SAFETY OFFICER OR ASSOCIATE RADIATION SAFETY OFFICER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION [10 CFR 35.57, 35.50] ,   AUTHORIZED MEDICAL PHYSICIST OR OPHTHALMIC PHYSICIST, TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION [10 CFR 35.51, 35.57(a)(3), and 35.433] ,   AUTHORIZED USER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION (for uses defined under 35.100, 35.200, and 35.500) [10 CFR 35.57, 35.190, 35.290, and 35.590] ,   AUTHORIZED USER TRAINING, EXPERIENCE, AND PRECEPTOR ATTESTATION (for uses defined under 35.300) [10 CFR 35.57, 35.390, 35.392, 35.394, and 35.396] ,   AUTHORIZED NUCLEAR PHARMACIST TRAINING, EXPERIENCE, AND PRECEPTOR ATTESTATION [10 CFR 35.55] ,   AUTHORIZED USER TRAINING, EXPERIENCE AND PRECEPTOR ATTESTATION (for uses defined under 35.400 and 35.600) [10 CFR 35.57, 35.490, 35.491, and 35.690] ,   APPLICATION FOR MATERIALS LICENSE ,   Application for Materials License

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	12,222	8,904	0	0	3,318	0
Annual Time Burden (Hours)	49,359	35,634	0	0	13,725	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: The burden for the information collection has increased from 35,634 hours and 8,904 responses to 49,359 hours and 12,222 responses, an increase of 13,725 hours and 3,318 responses. The burden for this collection was estimated using actual data from the agency’s web based licensing system from 2021. Compared to the data estimated in the previous OMB clearance package, the number of respondents for license amendments has increased from 695 to 940. NRC staff believes that some materials licensees may not have been included in the total reported in the last clearance cycle. The current data correctly includes all materials licensees. The ratio used to estimate the number of Agreement State amendment licensing actions also increased from 5.3 to 7.3, based on an annual count of the number of licensees in Agreement States. The number of NRC licensee licensing actions changed from 1,049 to 1,174. The number of Agreement licensing actions changed from 7,231 to 10,296. The number of 3rd party attestations changed from 624 to 752. The burden for the annual estimated medical use license amendments has increased since the last OMB clearance by 104 from 297 to 401 total amendment requests. In the last clearance cycle this data was estimated, because there was new rule including amendment requests to add Associate Radiation Safety officers and ophthalmic physicists and the number of these was estimated. Now, the NRC staff is able to pull actual data on the number of these submissions. There were changes to the Forms 313A - AMP and 313A - RSO as follows: • Form NRC 313A RSO under Part I.2, the last section of option B was deleted. An option C was added; “if not board certified and not listed on a medical use license as an RSO before January 14, 2019, skip to and complete Part II Preceptor Attestation. • Form NRC 313A RSO under Part I.3, option C was deleted and substituted by “Stop here”. • Form NRC 313A AMP under Part I.2, two new options were added “b. If board-certified, provide a copy of the certificate and stop here” and “c. If listed on a license or permit before January 14, 2019, as an authorized medical physicist, stop here. The last option was deleted. MMLs are not affected by Form 313 and do not use the form, nor have they used it to add permittees in the past. References to MMLs have been removed from this information collection request. These changes are not anticipated to change the burden per response to complete these forms. In addition, the fee rate increased from $275 to $288 per hour.

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Annual Cost to Federal Government: $1,453,882

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.     No

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.     No

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

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Common Form ICR:  No

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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: 11/23/2022

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