Information Collection

Nrc Form 974 "privacy Act Complaints, Concerns Or Questions Form"

IC 260982 under ICR 202609-3150-002 · OMB 3150-0262.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 974 Privacy Act Complaints, Concerns, or Questions Form NRC FORM 974 "PRIVACY ACT COMPLAINTS, CONCERNS OR QUESTIONS FORM"	Form and Instruction
974 Privacy Act Complaints, Concerns, or Questions Form NRC 974 (OMB Copy 1) (01-08-2026) LF.pdf	Form and Instruction

IC Title:

NRC FORM 974 "PRIVACY ACT COMPLAINTS, CONCERNS OR QUESTIONS FORM"

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Form and Instruction	974				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	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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