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 is listed under ICR 202405-0702-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DA 7689 Bioassay Information Summary Sheet | Form |
| Form DD 1952 Dosimetry Application and Record of Previous Radiation Exposure | Form |
| 0702-0150_DA7689_SSN_12.19.2020.pdf | Supplementary Document |
| 0702-0150_DD1952_SSN_12.19.2020.pdf | Supplementary Document |
 0702-0150_DraftSORN_10.23.2020.docx | Supplementary Document |
| 0702-0150_DraftPIA_3.1.2021.pdf | Supplementary Document |
| Army Regulation 385-10.pdf | Supplementary Document |
| 0702-0150_SSA_8.16.2024.docx | Supporting Statement A |
 Bioassay Information Summary Sheet |
Form |
| Dosimetry Application and Record of Previous Radiation Exposure |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202405-0702-002 | Extension without change of a currently approved collection | 2024-08-28 | ||
| 202105-0702-002 | Existing collection in use without an OMB Control Number | 2021-06-14 | Approved without change |
OMB Details
Dosimetry Application and Record of Previous Radiation Exposure
Federal Enterprise Architecture: Defense and National Security - Operational Defense
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form DD 1952 | Dosimetry Application and Record of Previous Radiation Exposure | Fillable Fileable Signable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.