OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

NRC FORM 5, CURRENT OCCUPATIONAL EXTERNAL RADIATION EXPOSURE

ICR 198304-3150-004 · OMB 3150-0006 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
155804 NRC FORM 5, CURRENT OCCUPATIONAL EXTERNAL RADIATION EXPOSURE Form Migrated
ICR Details
3150-0006 198304-3150-004
Historical Active 198104-3150-006
NRC
NRC FORM 5, CURRENT OCCUPATIONAL EXTERNAL RADIATION EXPOSURE
Revision of a currently approved collection   No
Regular
Approved without change 04/25/1983
Retrieve Notice of Action (NOA) 04/08/1983
APPROVAL OF THIS FORM IS CONTINGENT ON RESOLUTION OF THE UNDECIDED ISSUE OF RECORD RETENTION TIME FOR 10 CFR PART 20 PRIOR TO DECEMBER 31, 1983. NRC IS TO NOTIFY OMB OF THE RESOLUTION OF THE ISSUE, AND EXPLAIN WHY THESE RECORDS SHOULD BE RETAINED FOR MORE THAN THREE YEARS -- SEE 5 CFR 1320.6f.
  Inventory as of this Action Requested Previously Approved
04/30/1986 04/30/1986 04/30/1983
4,060,000 0 3,760,000
676,667 0 62,700
0 0 0
NRC FORM 5 IS USED TO RECORD THE CURRENT OCCUPATIONAL EXPOSURE OF INDIVIDUALS IN ORDER TO ENSURE THAT REGULATORY LIMITS ARE NOT EXCEEDED
None
None
No
1
IC Title Form No. Form Name
NRC FORM 5, CURRENT OCCUPATIONAL EXTERNAL RADIATION EXPOSURE NRC-5
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,060,000 3,760,000 0 148,786 151,214 0
Annual Time Burden (Hours) 676,667 62,700 0 304,500 309,467 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/08/1983