NRC Forms 541 and 541A, Uniform Low-Level Radioactive Waste Manifest Container and Waste Description (and Continuation Page)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form NRC Form 541A Uniform Low-Level Waste Radioactive Waste Manifest Container and Waste Description (Continuation)	Form and Instruction	Modified	Available
Form NRC Form 541 Uniform Low-Level Radioactive Waste Manifest Container and Waste Description	Form and Instruction	Modified	Available
Form NRC Form 541 NRC Forms 541 and 541A, Uniform Low-Level Radioactive Waste Manifest Container and Waste Description	Form and Instruction	Modified	Repair queued
2022 Final Supporting Statement for NRC Forms 541 and 541A.docx	Supporting Statement A	Uploaded 2022-11-22	Repair queued
NUREG-BR-0204 R3_Feb 04 2020_FINAL- kd 05-04-20 RLG 04-30-20 for ADM.pdf	Supplementary Document	Uploaded 2022-11-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
33454	NRC Forms 541 and 541A, Uniform Low-Level Radioactive Waste Manifest Container and Waste Description	Form and Instruction	Modified	Uniform Low-Level Waste Radioactive Waste Manifest Container and Waste Description (Continuation)
33454	NRC Forms 541 and 541A, Uniform Low-Level Radioactive Waste Manifest Container and Waste Description	Form and Instruction	Modified	Uniform Low-Level Radioactive Waste Manifest Container and Waste Description
33454	NRC Forms 541 and 541A, Uniform Low-Level Radioactive Waste Manifest Container and Waste Description	Form and Instruction	Modified

ICR Details

OMB Control No: 3150-0166	ICR Reference No: 202211-3150-007
Status: Active	Previous ICR Reference No: 202104-3150-003
Agency/Subagency: NRC	Agency Tracking No:
Title: NRC Forms 541 and 541A, Uniform Low-Level Radioactive Waste Manifest Container and Waste Description (and Continuation Page)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/25/2023
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	04/30/2026	36 Months From Approved	04/30/2023
Responses	4,616	0	5,600
Time Burden (Hours)	15,233	0	18,480
Cost Burden (Dollars)	0	0	0

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Abstract: The completed NRC Form 541 contains information needed to satisfy the waste manifesting requirements of the NRC’s 10 CFR part 20. NUREG/BR–0204, Rev. 3, contains instructions for completing NRC Forms 540, 540A, 541, 541A, 542, and 542A. The forms were originally developed by the NRC at the request of low-level waste industry groups. The forms are intended to provide uniformity and efficiency in the collection of information contained in manifests which are required to control transfers of LLW intended for disposal at a land disposal facility. However, as stated in 10 CFR part 20, appendix G, ‘‘Licensees need not use originals of these NRC Forms as long as any substitute forms are equivalent to the original documentation in respect to content, clarity, size, and location of information . . .’’ The NRC previously noticed the availability of revisions to the Uniform Low-Level Radioactive Waste Manifest Forms in the Federal Register on June 25, 2021 (86 FR 33783). The information collection contained in the current extension request does not include any material changes to the forms, except for: (1) changes to the Paperwork Reduction Act statement to indicate that licensees may use equivalent forms, and (2) the deletion of the expiration date.

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Authorizing Statute(s): PL: Pub.L. 83 - 703 69 STAT 919 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 48696	08/10/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 71694	11/23/2022
Did the Agency receive public comments on this ICR? Yes

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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 Forms 541 and 541A, Uniform Low-Level Radioactive Waste Manifest Container and Waste Description	NRC Form 541, NRC Form 541A	Uniform Low-Level Radioactive Waste Manifest Container and Waste Description ,   Uniform Low-Level Waste Radioactive Waste Manifest Container and Waste Description (Continuation)

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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	4,616	5,600	0	0	-984	0
Annual Time Burden (Hours)	15,233	18,480	0	0	-3,247	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 NRC staff was able to better estimate the number of NRC Form 541/541A prepared annually by using updated publicly available information from the Department of Energy. As such, the total annual number of NRC Form 541/541A decreased from 5,600 to 4,616; however, the assumed burden of 3.3 hours to complete the form is the same. As a result, there is an overall reduction in burden by 3,247 hours from 18,480 hours to 15,233 hours and a decrease in the estimated cost. The hourly cost for professional staff has increased from $275/hour to $288/hour.

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Annual Cost to Federal Government: $0

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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