Nuclear Test Personnel Review Forms

OMB 0704-0447

DTRA collects this information to provide verification of participation and/or radiation dose assessment for atomic veterans seeking radiogenic disease compensation from the VA (Veterans Affairs) or DOJ (Department of Justice).

The latest form for Nuclear Test Personnel Review Forms expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DTRA Form 150 Nuclear Test Personnel Review Forms Form
0704-0447_SSA_2.28.2024.docx Supporting Statement A
0704-0447_PIA_12.3.2019.pdf Supplementary Document
SSN_JustificationMemo_NTPR_Signed_12.4.2019.pdf Supplementary Document
Nuclear Test Personnel Review Forms Form

202402-0704-012 Approved without change	Extension without change of a currently approved collection	2024-02-29
202010-0704-001 Approved without change	Revision of a currently approved collection	2021-01-15
201710-0704-005 Approved without change	Reinstatement with change of a previously approved collection	2017-10-27
201405-0704-002 Approved without change	Extension without change of a currently approved collection	2014-05-23
201104-0704-001 Approved without change	Revision of a currently approved collection	2011-04-01
200802-0704-001 Approved without change	Existing collection in use without an OMB Control Number	2008-02-01
200707-0704-002 Withdrawn	New collection (Request for a new OMB Control Number)	2007-07-30