Information Collection

10 CFR Part 37, Physical Protection of Category 1 and Category 2 Quantities of Radioactive Material

IC 193133 under ICR 202403-3150-002 · OMB 3150-0214.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FD 258 10 CFR Part 37, Physical Protection of Category 1 and Category 2 Quantities of Radioactive Material	Form
FD 258 Applicant Fingerprint Form FD-258.pdf	Form
FD 258 Applicant Fingerprint Form FD-258.pdf	Form
NRC Form 755 Advance Notification of Shipment of Category 1 Quantitie NRC 755 (OMB Copy) 2022.pdf	Form
NRC Form 755 Advance Notification of Shipment of Category 1 Quantitie NRC 755 (OMB Copy) 2022.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 37

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	FD 258	Applicant Fingerprint Form	FD-258.pdf		Yes	Yes	Fillable Fileable
Form	NRC Form 755	Advance Notification of Shipment of Category 1 Quantities of Radioactive Material	NRC 755 (OMB Copy) 2022.pdf		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title: NRC 39, Personnel Security Files and Associated Records

FR Citation: 81 FR 81320

Number of Respondents: 5,600

Number of Respondents for Small Entity: 2,240

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	101,493	14	101,479
Annual IC Time Burden (Hours)	74,068	25	74,043
Annual IC Cost Burden (Dollars)	149,764	0	149,764

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.