Information Collection

Nrc Form 171, Document Duplication Request 171a, Microform Duplication Request 171b, Microform Blowback Request

IC 156284 under ICR 198212-3150-006 · OMB 3150-0066.

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Information Collection (IC) Details

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IC Title:	NRC FORM 171, DOCUMENT DUPLICATION REQUEST 171A, MICROFORM DUPLICATION REQUEST 171B, MICROFORM BLOWBACK REQUEST	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	NRC 171,	No	No
Form	171A &	No	No
Form	171B	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,000	3,480	7,520
Annual IC Time Burden (Hours)	752	0	752
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

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