Information Collection Request
NRC Form 396, Certification of Medical Examination by Facility Licensee
ICR 202303-3150-002 · OMB 3150-0024 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 3150-0024 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form NRC Form 396 NRC Form 396, Certification of Medical Examination by Facility Licensee |
Form and Instruction | Modified | Repair queued |
 Nonsubstantive Change Request for Form 396 (Instructions).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2023-03-13 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 33230 |  NRC Form 396, Certification of Medical Examination by Facility Licensee |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | NRC |
| OMB Control No | 3150-0024 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202205-3150-006 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |