Information Collection

NRC Form 212, Qualifications Investigation, Professional, Technical, and Administrative Positions

IC 33255 under ICR 202306-3150-002 · OMB 3150-0033.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 212 NRC Form 212, Qualifications Investigation, Professional, Technical, and Administrative Positions	Form
NRC Form 212 Qualifications Investigation, Professional, Technical an NRC 212 (OMB Copy 2) (12-05-2022) LF.pdf	Form
NRC Form 212 Qualifications Investigation, Professional, Technical an NRC 212 (OMB Copy 2) (12-05-2022) LF.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 212	Qualifications Investigation, Professional, Technical and Administrative Positions	NRC 212 (OMB Copy 2) (12-05-2022) LF.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,000	500	500
Annual IC Time Burden (Hours)	500	250	250
Annual IC Cost Burden (Dollars)	0	0	0

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.