OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Human Reliability Program

OMB 1910-5122 ยท DOE/DOEOA.

OMB 1910-5122

Collections are used by DOE management to certify to DOE that respondents were advised of the requirements for occupying or continuing to occupy a Human Reliability Program position.

The latest form for Human Reliability Program expires 2027-04-30 and is listed under ICR 202507-1910-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form DOE F 470.12 Human Reliability Program (HRP) Alcohol Testing Form (LANL)Form
Form DOE F 470.7 Human Reliability Program (HRP) Alcohol Testing FormForm
Form DOE F 470.5 Authorization and Consent to Release Human Reliability Program (HRP)Form
Form DOE F 470.4 Acknowledgement and Agreement to Participate In The Human Reliability Program (HRP)Form
Form DOE F 470.3 Human Reliability Program (HRP) CertificationForm
Form DOE F 470.3 Human Reliability ProgramForm
1910-5122 Non Sub Change Request.docxJustification for No Material/Nonsubstantive Change
1910-5122 Non Sub Change Request.docx Justification for No Material/Nonsubstantive Change
30- day FRN 12.05.22.pdfSupplementary Document
30- day FRN 12.05.22.pdf Supplementary Document
1910-5122 Supporting Statement- Final_.docxSupporting Statement A
60-day FRN 5-23-2022.pdfSupplementary Document
60-day FRN 5-23-2022.pdf Supplementary Document
Human Reliability Program Form
Human Reliability Program Form
Human Reliability Program Form
Human Reliability Program Form
Human Reliability Program Form
Human Reliability Program Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202507-1910-004 No material or nonsubstantive change to a currently approved collection 2025-08-11
202407-1910-003 No material or nonsubstantive change to a currently approved collection 2024-08-15
202207-1910-002 Extension without change of a currently approved collection 2022-07-29 Approved with change
201904-1910-001 Revision of a currently approved collection 2019-04-18 Approved without change
201603-1910-001 Extension without change of a currently approved collection 2016-03-10 Approved with change
201302-1910-001 Revision of a currently approved collection 2013-03-12 Approved with change
200909-1910-002 Revision of a currently approved collection 2010-01-26 Approved without change
200611-1910-003 Revision of a currently approved collection 2006-11-28 Approved without change
200608-1910-013 Revision of a currently approved collection 2006-08-23 Improperly submitted and continue
200304-1910-001 New collection (Request for a new OMB Control Number) 2003-04-14 Approved without change