NRC Form 4, Cumulative Occupational Dose History

NRC Form 4, Cumulative Occupational Dose History

OMB: 3150-0005

IC ID: 33127

Information Collection (IC) Details

View Information Collection (IC)

NRC Form 4, Cumulative Occupational Dose History
 
No Modified
 
Mandatory
 
10 CFR 20

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NRC Form 4 Cumulative Occupational Dose History NRC 4 (OMB Copy).pdf Yes Yes Fillable Fileable
Form and Instruction Not applicable REIRS Automated Dose History Request Form REIRS Automated Dose History Request Form online.pdf Yes Yes Fillable Fileable

Energy Energy Resource Management

NRC-27, Radiation Exposure Information and Reporting System (REIRS) Records-NRC  84 FR 71536

4,404 0
   
Private Sector Businesses or other for-profits
 
   97 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 243,429 0 0 2,415 0 241,014
Annual IC Time Burden (Hours) 66,558 0 0 604 0 65,954
Annual IC Cost Burden (Dollars) 6,877 0 0 344 0 6,533

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