OMB control number

Radiation Exposure Data Collection

OMB 0702-0150 · DOD/DOA.

OMB 0702-0150

The information collection requirement is to document and record an individual’s external and internal short and long-term exposure to radioactive materials and radiation. The information collection is also utilized to monitor, evaluate and control the risks and associated health hazards, conduct investigations, management studies and training to ensure individual qualifications and education in handling radioactive materials are maintained in compliance with the Nuclear Regulatory Commission (NRC) 10 CFR 20, Army NRC license conditions, and Occupational Safety and Health Administration (OSHA) 29 CFR 1926.53.

The latest form for Radiation Exposure Data Collection expires 2027-11-30 and can be found here.

OMB Details

Dosimetry Application and Record of Previous Radiation Exposure

Federal Enterprise Architecture: Defense and National Security - Operational Defense

Form DD 1952Dosimetry Application and Record of Previous Radiation ExposureFillable Fileable SignableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.