Information Collection

NRC Form 398, Personal Qualification Statement-Licensee

IC 33335 under ICR 202603-3150-003 · OMB 3150-0090.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 398 NRC Form 398, Personnel Qualification Statement Licensee NRC Form 398, Personal Qualification Statement-Licensee	Form and Instruction
Form NRC Form 398 (Web) PERSONAL QUALIFICATION STATEMENT – LICENSEE NRC Form 398, Personal Qualification Statement-Licensee	Form and Instruction
NRC Form 398 NRC Form 398, Personnel Qualification Statement Licensee OMB-3150-0090, Draft 2025 Collection Renewal, NRC Form 398 Personal Qualification Statement - NRC 398.pdf	Form and Instruction
NRC Form 398 (Web) PERSONAL QUALIFICATION STATEMENT – LICENSEE 398 fully updated form.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 10 CFR 55

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 and Instruction	NRC Form 398				Yes	Yes	Fillable Printable
Form and Instruction	NRC Form 398 (Web)				Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,062

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,062	44	1,018
Annual IC Time Burden (Hours)	5,613	361	5,252
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.

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