Information Collection

NRC Form 366, Licensee Event Report

IC 33348 under ICR 202308-3150-003 · OMB 3150-0104.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0104 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC FORMS 366 NRC Form 366, Licensee Event Report	Form and Instruction
NRC FORMS 366 LICENSEE EVENT REPORT- MAP -X Screenshots Form 366 OMB Screen Prints 04.13.23.docx	Form and Instruction
NRC FORMS 366 LICENSEE EVENT REPORT- MAP -X Screenshots Form 366 OMB Screen Prints 04.13.23.docx	Form and Instruction
NRC Form 366 Licensee Event Report NRC Form 366.pdf	Form and Instruction
NRC Form 366 Licensee Event Report NRC Form 366.pdf	Form and Instruction
NRC Form 366B Licensee Event Report (Failure Continuation) NRC Form 366B.pdf	Form and Instruction
NRC Form 366B Licensee Event Report (Failure Continuation) NRC Form 366B.pdf	Form and Instruction
NRC Form 366A Licensee Event Report (Continuation Sheet) NRC Form 366A.pdf	Form
NRC Form 366A Licensee Event Report (Continuation Sheet) NRC Form 366A.pdf	Form

IC Title:

NRC Form 366, Licensee Event Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 50

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NRC FORMS 366	LICENSEE EVENT REPORT- MAP -X Screenshots	Form 366 OMB Screen Prints 04.13.23.docx	Yes	Yes	Fillable Fileable
Form and Instruction	NRC Form 366	Licensee Event Report	NRC Form 366.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	NRC Form 366B	Licensee Event Report (Failure Continuation)	NRC Form 366B.pdf	Yes	Yes	Fillable Fileable
Form	NRC Form 366A	Licensee Event Report (Continuation Sheet)	NRC Form 366A.pdf	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 94

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	-292	542
Annual IC Time Burden (Hours)	20,000	-15,360	35,360
Annual IC Cost Burden (Dollars)	464	-315	779

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.