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Information Collection Request

10 CFR PART 40 - DOMESTIC LICENSING OF SOURCE MATERIAL, AND NRC FORM 484 - SAMPLE FORMAT FOR REPORTING DETECTION MONITORING DATA

ICR 199101-3150-003 · OMB 3150-0020 · Historical Active

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IC IDCollectionTypeStatusForm
156031 10 CFR PART 40 - DOMESTIC LICENSING OF SOURCE MATERIAL, AND NRC FORM 484 - SAMPLE FORMAT FOR REPORTING DETECTION MONITORING DATA Form Migrated
ICR Details
3150-0020 199101-3150-003
Historical Active 199005-3150-004
NRC
10 CFR PART 40 - DOMESTIC LICENSING OF SOURCE MATERIAL, AND NRC FORM 484 - SAMPLE FORMAT FOR REPORTING DETECTION MONITORING DATA
Revision of a currently approved collection   No
Regular
Approved without change 03/18/1991
Retrieve Notice of Action (NOA) 01/28/1991
  Inventory as of this Action Requested Previously Approved
03/31/1994 03/31/1994 01/31/1991
1,499 0 1,506
14,988 0 15,985
0 0 0
10 CFR PART 40 ESTABLISHES REQUIREMENTS FOR LICENSES FOR THE RECEIPT, POSSESSION, USE, AND TRANSFER OF RADIOACTIVE SOURCE AND BYPRODUCT MATERIAL. NRC FORM 484 IS USED TO REPORT GROUND WATER MONITORING DATA. THE INFORMATION IN THE REQUIRED REPORTS, APPLICATIONS AND RECORDS IS USED BY NRC TO ENSURE THAT THE HEALTH AND SAFETY OF THE PUBLIC IS PROTECTED.
None
None
No
1
IC Title Form No. Form Name
10 CFR PART 40 - DOMESTIC LICENSING OF SOURCE MATERIAL, AND NRC FORM 484 - SAMPLE FORMAT FOR REPORTING DETECTION MONITORING DATA NRC 484
  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 1,499 1,506 0 1 -8 0
Annual Time Burden (Hours) 14,988 15,985 0 120 -1,117 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.
01/28/1991