Information Collection

Nureg/br-0254, Payment Methods And Nrc Form 629, "authorization For Payment By Credit Card

IC 33486 under ICR 202307-3150-003 · OMB 3150-0190.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 629 Authorization for Payment by Credit Card NUREG/BR-0254, PAYMENT METHODS AND NRC FORM 629, "AUTHORIZATION FOR PAYMENT BY CREDIT CARD	Form
NUREG-0254-Rev8 Payment methods - GLW v2.pdf	Instruction
NUREG-0254-Rev8 Payment methods - GLW v2.pdf	Instruction
NRC Form 629 Authorization for Payment by Credit Card NRC 629 (OMB Copy).pdf	Form
NRC Form 629 Authorization for Payment by Credit Card NRC 629 (OMB Copy).pdf	Form

IC Title:

NUREG/BR-0254, PAYMENT METHODS AND NRC FORM 629, "AUTHORIZATION FOR PAYMENT BY CREDIT CARD

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Instruction					Yes	No	Fillable Printable
Form	NRC Form 629				Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	300	-100	400
Annual IC Time Burden (Hours)	50	-17	67
Annual IC Cost Burden (Dollars)	15	-5	20

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.

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